Organization
BUCKLEY-JOHNSON PEDIATRICTHERAPIES SLP, PC
Active
Organization
BUCKLEY-JOHNSON PEDIATRICTHERAPIES SLP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINDY BITTERMAN BUCKLEY MA, CCC-SLP (CO-OWNER)
(516) 798-2880
Entity
Organization
Contact information
Practice address
117 HARBOR LN, MASSAPEQUA PARK, NY 11762-4057
(516) 798-2880
(516) 798-2887
Mailing address
117 HARBOR LN, MASSAPEQUA PARK, NY 11762-4057
(516) 798-2880
(516) 798-2887
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
TF1774150
NY
Other
Enumeration date
01/24/2007
Last updated
08/22/2020
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