Organization
BEACON THERAPY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA SIMONE WHITE (SPEECH LANGUAGE PATHOLOGIST-CFY)
(516) 524-6065
Entity
Organization
Contact information
Practice address
1441 OLD NORTHERN BLVD, ROSLYN, NY 11576-2146
(516) 625-6846
Mailing address
1441 OLD NORTHERN BLVD, ROSLYN, NY 11576-2146
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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