Organization
NAOMI GITTLER SPEECH-LANGUAGE PATHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NAOMI GITTLER MA CCC SLP PC TSHH (OWNER)
(917) 650-6927
Entity
Organization
Contact information
Practice address
103 GERALD LN, OLD BETHPAGE, NY 11804-1113
(917) 650-6927
Mailing address
103 GERALD LANE, OLD BETHPAGE, NY 11804
(917) 650-6927
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
006828-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP1
1164564225
NY
Enumeration date
04/20/2017
Last updated
04/20/2017
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