Organization
EILEEN LAIDE SPEECH LANGUAGE PATHOLOGIST PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EILEEN MARIE LAIDE MS CCC SLP (SLP)
(718) 318-0306
Entity
Organization
Contact information
Practice address
212 BEACH 133RD ST, BELLE HARBOR, NY 11694-1436
(718) 318-0306
(718) 945-0167
Mailing address
212 BEACH 133RD ST, BELLE HARBOR, NY 11694-1436
(718) 318-0306
(718) 945-0167
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
011054
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811137920
—
NY
Enumeration date
06/14/2011
Last updated
06/14/2011
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