Organization · Type 2 NPI

Legendary Therapy

Local Education Agency (LEA) · Staten Island, NY

NPI number 1770915910 Active

Practice location

997 Stafford Ave
Staten Island, NY 10309-2109

Call (718) 948-1900 Map

Mailing address

9840 64th Ave, Apt 6C
Rego Park, NY 11374-2545

Specialties and licenses

TaxonomyCodeLicense
Local Education Agency (LEA) Primary 251300000XNone listed

Local Education Agency (LEA): The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in…

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About NPI 1770915910

Legendary Therapy's National Provider Identifier is 1770915910, issued on Jul 30, 2013. The primary taxonomy on file is Local Education Agency (LEA) (251300000X), and the practice location is in Staten Island, NY. The record was last updated on Sep 9, 2013.