Provider Demographics
NPI:1427198886
Name:METRO THERAPY
Entity Type:Organization
Organization Name:METRO THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:LENA
Authorized Official - Middle Name:
Authorized Official - Last Name:KUPFERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-366-3876
Mailing Address - Street 1:12 SHOREHAM DR W
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-6579
Mailing Address - Country:US
Mailing Address - Phone:631-586-5815
Mailing Address - Fax:631-242-9181
Practice Address - Street 1:1363 VETERANS HIGHWAY
Practice Address - Street 2:SUITE 8
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788
Practice Address - Country:US
Practice Address - Phone:631-366-3876
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY304450251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services