Purple Table S.l.p., Pllc

NPI #1003189986 in Glen Head, New York

Provider Information

NPI Number
1003189986
Entity Type
Organization
Organization Name
Purple Table S.l.p., Pllc
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Feb 22, 2012
Last Updated
Feb 22, 2012

Practice Location

Address
16 POST ST
ZIP Code
11545-1809
Phone
(347) 539-6427

Authorized Official

Name
MARYANN ELIZABETH MASSARI, MA CCC-SLP/TSHH
Title
SPEECH-LANGUAGE PATHOLOGIST
Phone
(347) 539-6427

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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