NPI 1114326444

Epic Speech Therapy, PLLC

Organisation Exclusive Provider Organization Rockaway Park, NY

Practice location

Address: 155 Beach 120th St APT 1a, Rockaway Park, NY 11694-1900
Phone: (917) 709-3473
Mailing address: 155 Beach 120th Street APT 1a, Rockaway Park, NY 11694-1900

Authorised official

Name: Mariaelena Noto
Title: Speech-Language Pathologist
Phone: (917) 709-3473

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

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Registry record

NPI: 1114326444
Entity type: Organization
NPI issued: 22 Aug 2014
Record last updated: 22 Aug 2014

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.