Boon Speech Therapy PC

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1326397795

Boon Speech Therapy PC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Forest Hills, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in: NY
In the registry since: 2012

What do these letters mean?

PC — Professional corporation: A form of business registration, not a clinical qualification.

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Practice location Address checks out

64-05 Yellowstone Blvd 208A
Forest Hills, NY 11375
Phone: (917) 324-3119

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary)	Taxonomy 320900000X · Licence 014489 (NY)

Record details

NPI number	1326397795
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Pisamai Boonyathitisuk — Speech Language Pathologist · (917) 324-3119
NPI enumerated	August 31, 2012
Last updated in NPPES	August 31, 2012
Mailing address	64-05 Yellowstone Blvd., 208a, Forest Hills, NY 11375