Organization
FIRST CHOICE PT SLP PSYCHOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONID YAKUBOV OT (EXECUTIVE DIRECTOR)
(718) 213-3041
Entity
Organization
Contact information
Practice address
8415 BEVERLY RD, KEW GARDENS, NY 11415-2103
(718) 213-3041
Mailing address
8415 BEVERLY RD, KEW GARDENS, NY 11415-2103
(718) 213-3041
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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