Healthcare Provider Details

I. General information

NPI: 1700705928
Provider Name (Legal Business Name): THE PERFECT PLAYGROUND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3391 RICHMOND AVE
STATEN ISLAND NY
10312-2025
US

IV. Provider business mailing address

3391 RICHMOND AVE
STATEN ISLAND NY
10312-2025
US

V. Phone/Fax

Practice location:
  • Phone: 718-608-9170
  • Fax: 718-608-9179
Mailing address:
  • Phone: 718-608-9170
  • Fax: 718-608-9179

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: ABIGAIL MARGARET KARASSIK
Title or Position: SPEECH PATHOLOGIST
Credential:
Phone: 570-855-2391