Provider Demographics
NPI:1811513344
Name:HORIZON SLP, OT & PT THERAPY SERVICES, PLLC
Entity type:Organization
Organization Name:HORIZON SLP, OT & PT THERAPY SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GOKUL
Authorized Official - Middle Name:T
Authorized Official - Last Name:KRISHNAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS/CCC-SLP
Authorized Official - Phone:516-416-8626
Mailing Address - Street 1:1035 N 6TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-3030
Mailing Address - Country:US
Mailing Address - Phone:516-413-8626
Mailing Address - Fax:844-800-1470
Practice Address - Street 1:1035 N 6TH ST
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-3030
Practice Address - Country:US
Practice Address - Phone:516-413-8626
Practice Address - Fax:844-800-1470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-20
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty