OrganizationActive
Boon Speech Therapy PC
NPI 1326397795 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Forest Hills, NY
Provider details
- NPI number
- 1326397795
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Pisamai Boonyathitisuk, Speech Language Pathologist(917) 324-3119
- License
- 014489 (NY)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 014489 (NY)
Residential Treatment Facilities
Practice location
64-05 Yellowstone Blvd.
208a
Forest Hills, NY 11375
Phone: (917) 324-3119
Approximate (ZIP-level) locationGet directions
Mailing address
64-05 Yellowstone Blvd.
Forest Hills, NY 11375
Registry dates
- Enumerated
- 2012-08-31
- Last updated
- 2012-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.