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Contact Information

A NEW STRIDE P T S L P THERAPEUTIC SERVICES PLLC
1779 RICHMOND AVE
FL 3
STATEN ISLAND, NY10314-3907
 Phone: 718-494-5923
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for A NEW STRIDE P T S L P THERAPEUTIC SERVICES PLLC

NPI # 1700181807
LBN Legal business name A NEW STRIDE P T S L P THERAPEUTIC SERVICES PLLC
Authorized official GEORGE NICKEL - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/20/2011
Last updated 01/20/2011 - About 15 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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