Organization
SLP GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUBA LUSHER M.S. CCC-SLP (PRESIDENT/SPEECH-PATHOLOGIST)
(646) 573-5901
Entity
Organization
Contact information
Practice address
111 HAVEN AVE, STATEN ISLAND, NY 10306-5217
(646) 573-5901
Mailing address
111 HAVEN AVE, STATEN ISLAND, NY 10306-5217
(646) 573-5901
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
015082
NY
Other
Enumeration date
03/27/2009
Last updated
03/27/2009
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