Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Shrub Oak Clinical Services OT, PT, SLP, LMSW, Psychology, PLLC

Organization Psychologist · NPI 1699255844

Shrub Oak Clinical Services OT, PT, SLP, LMSW, Psychology, PLLC provides Psychologist services in New York, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018
Specialties on file
6
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

80 Broad St Ste 1702
New York, NY 10004-2248
Phone: (212) 867-2922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 02141 (NY)
Psychologist Taxonomy 103T00000X · Licence 014220 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 097381
Physical Therapist Taxonomy 225100000X · Licence 035660 (NY)
Occupational Therapist Taxonomy 225X00000X · Licence 016818 (NY)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 002141 (NY)

Record details

NPI number1699255844
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lori Koffler — President · (917) 696-2171
NPI enumeratedAugust 17, 2018
Last updated in NPPESAugust 17, 2018
Mailing address80 Broad St Ste 1702, New York, NY 10004-2248

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