Organization
NY THERAPEUTIC SPECIALISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA SLADE LCSW (PRESIDENT)
(516) 741-2840
Entity
Organization
Contact information
Practice address
72 BRUNSWICK AVE, WILLISTON PARK, NY 11596-1504
(516) 741-2840
Mailing address
72 BRUNSWICK AVE, WILLISTON PARK, NY 11596-1504
(516) 741-2840
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
01/28/2009
Last updated
01/28/2009
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