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Boon Speech Therapy Pc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Forest Hills, New York
NPI 1326397795

Boon Speech Therapy Pc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Forest Hills, NY. Boon Speech Therapy Pc practices in Forest Hills, NY. The NPI Number for Boon Speech Therapy Pc is 1326397795 and holds a License No. 014489 (New York).

The current practice location address for Boon Speech Therapy Pc is 64-05 Yellowstone Blvd., Forest Hills, NY and can be reached out via phone at 917-324-3119.

Location: 64-05 Yellowstone Blvd., Forest Hills, NY, 11375
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326397795
Provider Name
Boon Speech Therapy Pc
Credential
Provider Entity Type
Organization
Address
64-05 Yellowstone Blvd., Forest Hills, NY, 11375
Phone Number
917-324-3119
Fax Number
Provider Enumeration Date
08/31/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1467692251 01 NY SPEECH LANGUAGE PATHOLOGIST
institution
Provider Business Practice Location Address Details
Address
64-05 Yellowstone Blvd.
City
Forest Hills
State
New York
Zip
11375
Phone Number
917-324-3119
Fax Number
person
Provider Business Mailing Address Details
Address
64-05 Yellowstone Blvd.
City
Forest Hills
State
New York
Zip
11375
Phone Number
917-324-3119
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
014489 (New York)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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