214-18 Hillside Ave
NPI #1063858991 in Queens Village, New York
Provider Information
- NPI Number
- 1063858991
- Entity Type
- Organization
- Organization Name
- 214-18 Hillside Ave
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- May 19, 2013
- Last Updated
- May 19, 2013
Practice Location
- Address
- 21418 HILLSIDE AVE
- City
- Queens Village
- State
- New York
- ZIP Code
- 11427-1808
- Phone
- (646) 331-7345
Authorized Official
- Name
- GRACEMON KURIAKOSE
- Title
- CEO
- Phone
- (646) 331-7345
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Psychologist |
| Social Worker |
| Social Worker - Clinical — Clinical |
| Physical Therapist |
| Specialist/Technologist |
| Occupational Therapist |
| Respiratory Therapist, Certified |
| Speech-Language Pathologist |
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