OrganizationActive
214-18 Hillside Ave
NPI 1063858991 · Speech-Language Pathologist · Queens Village, NY
Provider details
- NPI number
- 1063858991
- Entity type
- Organization
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Authorized official
- Gracemon Kuriakose, Ceo
Practice location
21418 Hillside Ave
Queens Village, NY 11427-1808
Phone: (646) 331-7345
Mailing address
21418 Hillside Ave
Queens Village, NY 11427-1808
Registry dates
- Enumerated
- 2013-05-19
- Last updated
- 2013-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.