Healthcare Provider Details

I. General information

NPI: 1912216086
Provider Name (Legal Business Name): THERAPEUTIC LINKS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2010
Last Update Date: 10/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3942 E TREMONT AVE
BRONX NY
10465-2902
US

IV. Provider business mailing address

3942 E TREMONT AVE
BRONX NY
10465-2902
US

V. Phone/Fax

Practice location:
  • Phone: 347-398-8358
  • Fax:
Mailing address:
  • Phone: 347-398-8358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number0143411
License Number StateNY

VIII. Authorized Official

Name: MRS. TANIA MORALES-VELAZQUEZ
Title or Position: SPEECH-LANGUAGE PATHOLOGIST
Credential: CCC/SLP/TSHH
Phone: 347-398-8358