Organization
EISNY OT/PT/SLP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANJUSHA MEHRA OTR (MANAGING MEMBER)
(914) 373-6520
Entity
Organization
Contact information
Practice address
189 ROUTE 100, SOMERS, NY 10589-2811
(914) 373-6520
(914) 373-6521
Mailing address
PO BOX 441, SOMERS, NY 10589-0441
(914) 373-6520
(914) 373-6521
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
25296
NY
Other
Enumeration date
04/15/2010
Last updated
04/15/2010
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