Provider Demographics
NPI:1508844622
Name:PAULA M OKIN DBA NORTH SHORE SPEECH & LANGUAGE ASSOCIATES
Entity Type:Organization
Organization Name:PAULA M OKIN DBA NORTH SHORE SPEECH & LANGUAGE ASSOCIATES
Other - Org Name:NORTH SHORE SPEECH AND LANGUAGE ASSCOAITES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR, SPEECH-LANGUAGE PATHOLOGY
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:OKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-627-6391
Mailing Address - Street 1:10 LAKE DR
Mailing Address - Street 2:
Mailing Address - City:MANHASSET HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11040-1123
Mailing Address - Country:US
Mailing Address - Phone:516-627-6391
Mailing Address - Fax:
Practice Address - Street 1:45 N STATION PLZ STE 208
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5031
Practice Address - Country:US
Practice Address - Phone:516-627-6391
Practice Address - Fax:516-627-2057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-09
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY33212355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Single Specialty