Organization
GRACEFUL SPEECH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AISHA CATHERINE DEMOSTHENES SLP (SPEECH LANGUAGE PATHOLOGIST)
(718) 813-4234
Entity
Organization
Contact information
Practice address
130 N KING ST, ELMONT, NY 11003-4229
(718) 813-4234
(516) 216-1975
Mailing address
130 N KING ST, ELMONT, NY 11003-4229
(718) 813-4234
(516) 216-1975
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
019729
NY
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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