Eastern Suffolk Speech and Language Pathology PC
Organization Active NPI Early Intervention Provider Agency · Westhampton, NY
NPI 1497072219 · NPPES record last updated Aug 23, 2022
Key facts
- NPI
- 1497072219
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Early Intervention Provider Agency 252Y00000X
- License
- 008637-1 (NY)
- Legal business name
- EASTERN SUFFOLK SPEECH AND LANGUAGE PATHOLOGY PC
- Practice address
- 4 Montauk Hwy
Westhampton, NY 11977-1235 - Phone
- (631) 998-0368
- Fax
- (631) 878-1722
- NPI assigned
- May 4, 2010
- Organization subpart
- No
Authorized official
- Name
- Ms. Theresa Blangiforti, M.S. CCC-SLP
- Title
- Owner/Director
- Phone
- (631) 998-0368
Practitioners 4
-
Theresa Blangiforti, M.S. CCC-SLP
-
Lluna Skky Katz, MA, CF-SLP TSSLD
National Provider Directory
Locations
4 Montauk Hwy
Westhampton, NY 11977
Phone (631) 942-8277
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | 008637-1 | NY | |
| Early Intervention Provider Agency | 252Y00000X | 008637-1 | NY | Yes |
Addresses
Primary practice location
4 Montauk Hwy
Westhampton, NY 11977-1235
Mailing address
4 Montauk Hwy
Westhampton, NY 11977-1235
Phone (631) 998-0368
Other providers in Westhampton, NY
- Olaf Butchma
- Kelly A Clifford
- Dana Geller DPT PLLC
- Lianna Feliz Dulfon
- East End Healthcare Inc
- Denise Ann Elias
- Eric Christensen, DDS PC
- Amy L Farnan
- Serafina Gohar
- Eileen Agnes Goodey
All providers in Westhampton, NY · Early Intervention Provider Agency in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.