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NPI Code Detail

MEDICARE: LITTLE TREASURES-PETITS TRESORS, SLP & PSYCHOLOGY, PLLC

MEDICARE: LITTLE TREASURES-PETITS TRESORS, SLP & PSYCHOLOGY, 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
1252Y00000XEarly Intervention Provider Agency016079-1NY

General Provider Information

NPI Number : 1043465701
Entity Type Code : Organization
Provider Name (Legal Business Name) : LITTLE TREASURES-PETITS TRESORS, SLP & PSYCHOLOGY, PLLC
Provider Business Mailing Address
First Line : 22004 LINDEN BLVD
Second Line :
City : CAMBRIA HEIGHTS
State : NY
Zip : 11411-1621
Country : US
Telephone Number : 718-712-3358
Fax Number : 718-712-3379
Provider Business Practice Location Address
First Line : 22004 LINDEN BLVD
Second Line :
City : CAMBRIA HEIGHTS
State : NY
Zip : 11411-1621
Country : US
Telephone Number : 718-712-3358
Fax Number : 718-712-3379
Authorized Official
Title or Position : PRESIDENT
Name : NIQUETTE DESTIN
Credential : SPEECH-LANGUAGE PHAT
Telephone Number : 718-712-3358
Provider Enumeration Date : 11/22/2008
Last Update Date : 03/19/2012

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Directions to “LITTLE TREASURES-PETITS TRESORS, SLP & PSYCHOLOGY, PLLC ” Practice Location

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