Organization
PROACTIVE SPEECH AND LANGUAGE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICE L SCHWARTZ (PRESIDENT)
(631) 828-8258
Entity
Organization
Contact information
Practice address
18 GARDENIA RD, MOUNT SINAI, NY 11766-2725
(631) 828-8258
(631) 474-7821
Mailing address
18 GARDENIA RD, MOUNT SINAI, NY 11766-2725
(631) 828-8258
(631) 474-7821
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
0115821
NY
Other
Enumeration date
07/29/2011
Last updated
07/29/2011
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