Provider Demographics
NPI:1023248879
Name:THE SENSORY MOTOR INTEGRATION AND LANGUAGE ENRICHMENT THERAPEUTIC SERV
Entity type:Organization
Organization Name:THE SENSORY MOTOR INTEGRATION AND LANGUAGE ENRICHMENT THERAPEUTIC SERV
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO & PROGRAM DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SHIOU JUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:HO
Authorized Official - Suffix:
Authorized Official - Credentials:MA, OTR/L
Authorized Official - Phone:212-400-0383
Mailing Address - Street 1:171 MADISON AVE FL 5
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-5123
Mailing Address - Country:US
Mailing Address - Phone:212-400-0383
Mailing Address - Fax:212-400-0384
Practice Address - Street 1:171 MADISON AVE FL 5
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-5123
Practice Address - Country:US
Practice Address - Phone:212-400-0383
Practice Address - Fax:212-400-0384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-14
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental DisabilitiesGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Single Specialty
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty