Provider Demographics
NPI:1477973188
Name:METRO THERAPY
Entity Type:Organization
Organization Name:METRO THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:TAORMINA
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:631-384-6713
Mailing Address - Street 1:16 SIMON ST
Mailing Address - Street 2:
Mailing Address - City:BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11702-2337
Mailing Address - Country:US
Mailing Address - Phone:631-539-2637
Mailing Address - Fax:
Practice Address - Street 1:16 SIMON ST
Practice Address - Street 2:
Practice Address - City:BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11702-2337
Practice Address - Country:US
Practice Address - Phone:631-539-2637
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-21
Last Update Date:2014-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY954058044252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency