Organization
SHTARR SLP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LUBA SHTARR-LUSHER MS CCC-SLP (PRESIDENT)
(646) 573-5901
Entity
Organization
Contact information
Practice address
136 ASHWORTH AVE, STATEN ISLAND, NY 10314-4904
(646) 573-5901
Mailing address
136 ASHWORTH AVE, STATEN ISLAND, NY 10314-4904
(646) 573-5901
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
015082
NY
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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