| Organization Name: | PRN PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY NETWORK, PLLC |
| NPI Number: | 1336185263 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TERRY MANN (PRACTICE MANAGER) |
| Mailing Address: | 20 Peachtree Ct Suite 105 Holbrook |
| State: | NY US |
| Postal Code: | 117414616 |
| Phone Number: | 6314673700 |
| Fax Number: | 6314670929 |
| NPI Enumeration Date: | 06/21/2006 |
| NPI Last Update Date: | 07/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 014049 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |