NPI 1003189986

Purple Table S.L.P., PLLC

Organisation Early Intervention Provider Agency Glen Head, NY

Practice location

Address: 16 Post St, Glen Head, NY 11545-1809
Phone: (347) 539-6427
Mailing address: 16 Post Street, Glen Head, NEW YORK 11545

Authorised official

Name: Maryann Elizabeth Massari
Title: Speech-Language Pathologist
Phone: (347) 539-6427

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence 013002 (NY)

Other Early Intervention Provider Agency providers in New York →

Registry record

NPI: 1003189986
Entity type: Organization
NPI issued: 22 Feb 2012
Record last updated: 22 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.