Organization
STAR EXPRESSIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MITZI ABRAHAM CCC-SLP (SPEECH THERAPIST)
(516) 426-2464
Entity
Organization
Contact information
Practice address
9434 222ND ST, QUEENS VILLAGE, NY 11428-2008
(516) 426-2464
Mailing address
30 LORDS WAY, MANHASSET HILLS, NY 11040-1212
(516) 426-2464
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
015655
NY
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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