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NPI Code Detail

MEDICARE: ONE STEP BEYOND SLP OT PLLC

MEDICARE: ONE STEP BEYOND SLP OT PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist
2225X00000XOccupational Therapist

General Provider Information

NPI Number : 1033426531
Entity Type Code : Organization
Provider Name (Legal Business Name) : ONE STEP BEYOND SLP OT PLLC
Provider Business Mailing Address
First Line : 3936 AMBOY RD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10308-2406
Country : US
Telephone Number : 718-317-6390
Fax Number : 718-317-6391
Provider Business Practice Location Address
First Line : 3936 AMBOY RD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10308-2406
Country : US
Telephone Number : 718-317-6390
Fax Number : 718-317-6391
Authorized Official
Title or Position : DIRECTOR
Name : SUSAN GREENBERG
Credential : OTR/L
Telephone Number : 717-317-6390
Provider Enumeration Date : 09/03/2010
Last Update Date : 09/03/2010

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Directions to “ONE STEP BEYOND SLP OT PLLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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