Organization
NEW HOPE: PHYSICAL SPEECH OCCUPATIONAL AND LMSW SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE CEPEDA AMANTIA P.T. (SECRETARY/TREASURER MGR MBR)
(631) 757-4063
Entity
Organization
Contact information
Practice address
27 CATHERINE ST, EAST NORTHPORT, NY 11731-1318
(631) 261-9145
(631) 262-9145
Mailing address
7 FENWICK ST, GREENLAWN, NY 11740-1405
(631) 757-4063
(631) 757-4063
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
0111231
NY
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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