Provider Demographics
NPI:1851778229
Name:MANHATTAN OCCUPATIONAL, PHYSICAL AND SPEECH THERAPIES, PLLC
Entity Type:Organization
Organization Name:MANHATTAN OCCUPATIONAL, PHYSICAL AND SPEECH THERAPIES, PLLC
Other - Org Name:HH4K THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MAUTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-902-3426
Mailing Address - Street 1:130 SHORE RD # 125
Mailing Address - Street 2:
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11050-2205
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:121 E 30TH ST
Practice Address - Street 2:5TH FL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-7302
Practice Address - Country:US
Practice Address - Phone:212-679-4319
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-05
Last Update Date:2016-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency