Organization
AVIRA OT PT SPEECH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAISY STEPHEN STEPHEN (MANAGER)
(914) 837-6538
Entity
Organization
Contact information
Practice address
36 GARDEN CIR, SYOSSET, NY 11791-4803
(914) 712-5146
Mailing address
36 GARDEN CIR, SYOSSET, NY 11791-4803
(914) 712-5146
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
—
—
225XG0600X
Gerontology Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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