Proactive Speech and Language P.C.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

0115821 Issued in NY

Legal business name

PROACTIVE SPEECH AND LANGUAGE P.C.

Practice address

18 Gardenia Rd
Mount Sinai, NY 11766-2725

Phone

(631) 828-8258

Fax

(631) 474-7821

NPI assigned

Jul 29, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patrice L Schwartz

Title

President

Phone

(631) 828-8258

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311897600000",
    "number": "1558649293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 GARDENIA RD",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117662725",
            "telephone_number": "631-828-8258",
            "fax_number": "631-474-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 GARDENIA RD",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117662725",
            "telephone_number": "631-828-8258",
            "fax_number": "631-474-7821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE SPEECH AND LANGUAGE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-29",
        "last_updated": "2011-07-29",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-828-8258"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "0115821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Mount Sinai, NY
• Providers in Mount Sinai, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.