| Shrub Oak Clinical Services Ot, Pt, Slp, Lmsw, Psychology, Pllc | |
|
80 Broad St Ste 1702 New York NY 10004-2248 | |
| (212) 867-2922 | |
| Not Available |
| Full Name | Shrub Oak Clinical Services Ot, Pt, Slp, Lmsw, Psychology, Pllc |
|---|---|
| Speciality | Speech-language Pathologist |
| Location | 80 Broad St Ste 1702, New York, New York |
| Authorized Official Name and Position | Lori Koffler (PRESIDENT) |
| Authorized Official Contact | 9176962171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shrub Oak Clinical Services Ot, Pt, Slp, Lmsw, Psychology, Pllc 80 Broad St Ste 1702 New York NY 10004-2248 Ph: (212) 867-2922 | Shrub Oak Clinical Services Ot, Pt, Slp, Lmsw, Psychology, Pllc 80 Broad St Ste 1702 New York NY 10004-2248 Ph: (212) 867-2922 |
| NPI Number | 1699255844 |
|---|---|
| Provider Enumeration Date | 08/17/2018 |
| Last Update Date | 08/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699255844 | NPI | - | NPPES |
| 016818 | Other | NY | NEW YORK STATE EDUCATION DEPARTMENT |
| 035660 | Other | NY | NEW YORK STATE EDUCATION DEPARTMENT |
| 014220 | Other | NY | NEW YORK STATE EDUCATION DEPARTMENT |
| 002141 | Other | NY | NEW YORK STATE EDUCATION DEPARTMENT |
| 097381 | Other | NY | NEW YORK STATE EDUCATION DEPARTMENT |
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