OrganizationActive
Buckley-Johnson Pediatrictherapies Slp, PC
NPI 1962557348 · Developmentally Disabled Services Day Training Agency · Massapequa Park, NY
Provider details
- NPI number
- 1962557348
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Mindy Buckley, Co-Owner(516) 798-2880
- License
- TF1774150 (NY)
Specialties & taxonomies
Agencies
Practice location
117 Harbor Ln
Massapequa Park, NY 11762-4057
Phone: (516) 798-2880
Fax: (516) 798-2887
Approximate (ZIP-level) locationGet directions
Mailing address
117 Harbor Ln
Massapequa Park, NY 11762-4057
Registry dates
- Enumerated
- 2007-01-24
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.