Organization
COURTNEY PRYOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY PRYOR SLP (SPEECH PATHOLOGIST)
(718) 442-2704
Entity
Organization
Contact information
Practice address
200 HART BLVD APT 4E, STATEN ISLAND, NY 10301-3460
(718) 442-2704
Mailing address
200 HART BLVD APT 4E, 200 HART BLVD. APT4E, STATEN ISLAND, NY 10301-3460
(718) 442-2704
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
12054464
NY
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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