Provider Demographics
NPI:1598072027
Name:THERAPY SERVICES OF GREATER NEW YORK
Entity Type:Organization
Organization Name:THERAPY SERVICES OF GREATER NEW YORK
Other - Org Name:SUSAN LUBRANO D/B/A THERAPY SERVICES OF GREATER NEW YORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:LUBRANO
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:516-482-2650
Mailing Address - Street 1:45 N. STATION PLAZA
Mailing Address - Street 2:SUITE 309
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021
Mailing Address - Country:US
Mailing Address - Phone:516-482-2650
Mailing Address - Fax:516-466-8717
Practice Address - Street 1:45 N. STATION PLAZA
Practice Address - Street 2:SUITE 309
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021
Practice Address - Country:US
Practice Address - Phone:516-482-2650
Practice Address - Fax:516-466-8717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-03
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000810-1252Y00000X
NY00810252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency