Legendary Speech Pathology PLLC
Early Intervention Provider Agency in Staten Island, New York
1639578107- Practice location
- 997 Stafford Ave, Staten Island, NY 10309-2109
- Phone
- 718-948-1900
- Fax
- —
- Last updated
- August 20, 2014
Legendary Speech Pathology PLLC is a healthcare organization based in Staten Island, NY. Legendary Speech Pathology PLLC practices in Staten Island, NY. The NPI Number for Legendary Speech Pathology PLLC is 1639578107 and holds a License No. 011183 (NY). The current practice location address for Legendary Speech Pathology PLLC is 997 Stafford Ave, Staten Island, NY 10309-2109 and can be reached out via phone at 718-948-1900.
Provider Profile Details
- NPI Number
- 1639578107
- Provider Name
- Legendary Speech Pathology PLLC
- Provider Entity Type
- Organization
- Address
- 997 Stafford Ave, Staten Island, NY 10309-2109
- Phone Number
- 718-948-1900
- Primary Taxonomy
- Early Intervention Provider Agency · 252Y00000X
- Organization Subpart
- No
- Authorized Official
- Mrs. Rachel Weiss · Director · 917-744-3976
- Other Names
- Legendary Therapy (Doing Business As)
- Provider Enumeration Date
- August 20, 2014
- Last Update Date
- August 20, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 997 Stafford Ave
Staten Island, NY 10309-2109 - City
- Staten Island
- State
- New York
- Zip
- 10309-2109
- Phone Number
- 718-948-1900
Provider Business Mailing Address Details
- Address
- 997 Stafford Ave
Staten Island, NY 10309-2109 - City
- Staten Island
- State
- NY
- Zip
- 10309-2109
- Phone Number
- 718-948-1900
License Information
- License Number
- 011183
- License State
- NY
- Taxonomy
- Early Intervention Provider Agency · 252Y00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Legendary Speech Pathology PLLC?
The NPI number of Legendary Speech Pathology PLLC is 1639578107. It was assigned on August 20, 2014 and is currently active in the NPPES registry.
What is the specialty of Legendary Speech Pathology PLLC?
Legendary Speech Pathology PLLC is registered under the primary taxonomy Early Intervention Provider Agency (code 252Y00000X), licensed in NY under license number 011183.
Where does Legendary Speech Pathology PLLC practice?
The practice location is 997 Stafford Ave, Staten Island, NY 10309-2109. The office can be reached at 718-948-1900 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639578107 directly on the NPPES registry website.