Organization
ADVANCED THERAPY SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY PALMA MS CCC SLP (OWNER)
(516) 819-2626
Entity
Organization
Contact information
Practice address
19 BISCAYNE DR, SELDEN, NY 11784-1001
(516) 819-2626
(631) 846-8156
Mailing address
19 BISCAYNE DR, SELDEN, NY 11784-1001
(516) 819-2626
(631) 846-8156
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
018474
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811142458
—
NY
Enumeration date
11/27/2012
Last updated
11/27/2012
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