Provider Demographics
NPI:1144991977
Name:MANHATTAN SPEECH LANGUAGE & LITERACY
Entity type:Organization
Organization Name:MANHATTAN SPEECH LANGUAGE & LITERACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTEMARANO
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:516-603-8605
Mailing Address - Street 1:80 CRANBERRY ST # 6K
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-1726
Mailing Address - Country:US
Mailing Address - Phone:516-603-8605
Mailing Address - Fax:
Practice Address - Street 1:80 CRANBERRY ST # 6K
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-1726
Practice Address - Country:US
Practice Address - Phone:516-603-8605
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-22
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03941839Medicaid