St.mary's Healthcare System for Children
NPI #1619226750 in New Hyde Park, New York
Provider Information
- NPI Number
- 1619226750
- Entity Type
- Organization
- Organization Name
- St.mary's Healthcare System for Children
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Sep 5, 2012
- Last Updated
- Sep 5, 2012
Practice Location
- Address
- 5 DAKOTA DR
- Address 2
- SUITE 200
- City
- New Hyde Park
- State
- New York
- ZIP Code
- 11042-1107
- Phone
- (718) 281-8579
Authorized Official
- Name
- LEAH JANE LAVENDER-TABAR, M.A., CCC-SLP
- Title
- SPEECH-LANGAUGE PATHOLOGIST
- Phone
- (917) 670-6781
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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