Provider Demographics
NPI:1215600473
Name:ALL ISLAND SPEECH THERAPY & REHABILITATION PC
Entity Type:Organization
Organization Name:ALL ISLAND SPEECH THERAPY & REHABILITATION PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:MELNITSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-776-0184
Mailing Address - Street 1:7 LINDA LN
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-3117
Mailing Address - Country:US
Mailing Address - Phone:516-776-0184
Mailing Address - Fax:
Practice Address - Street 1:7 LINDA LN
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-3117
Practice Address - Country:US
Practice Address - Phone:516-776-0184
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-25
Last Update Date:2021-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty