NPI 1003201062
Legendary Therapy
Practice location
- Address
- 1925 Williamsbridge Rd, Bronx, NY 10461-1604
- Phone
- (718) 941-1900
- Mailing address
- 660 Southern Blvd 5d, Bronx, NY 10455-3653
Authorised official
- Name
- Yolivette Medina
- Title
- Service Coordinator
- Phone
- (718) 610-9454
Registered specialties
Early Intervention Provider Agency
Primary
Registry record
- NPI
- 1003201062
- Entity type
- Organization
- NPI issued
- 6 Apr 2015
- Record last updated
- 6 Apr 2015
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.