Organization
SUPERIOR CLINICAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM M PRATT MSCCC-SLP (PRINCIPAL)
17184423646
Entity
Organization
Contact information
Practice address
178 MORRISON AVE, STATEN ISLAND, NY 10310
(718) 442-3646
(718) 442-3646
Mailing address
178 MORRISON AVE, STATEN ISLAND, NY 10310
(718) 442-3646
(716) 442-3646
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SUPERIOR6126
—
NY
Enumeration date
10/28/2015
Last updated
10/28/2015
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