Healthcare Provider Details
I. General information
NPI: 1083303168
Provider Name (Legal Business Name): HAND IN HAND SPEECH THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/03/2023
Last Update Date: 05/03/2023
Certification Date: 05/03/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7000 AUSTIN ST STE 200
FOREST HILLS NY
11375-4739
US
IV. Provider business mailing address
7000 AUSTIN ST STE 200
FOREST HILLS NY
11375-4739
US
V. Phone/Fax
- Phone: 862-245-6115
- Fax:
- Phone: 862-245-6115
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 252Y00000X |
| Taxonomy | Early Intervention Provider Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QH0700X |
| Taxonomy | Hearing and Speech Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MAGDALA
NOEL
Title or Position: OWNER, SPEECH LANGUAGE PATHOLOGIST
Credential:
Phone: 516-462-1045