Provider Demographics
NPI:1871366062
Name:CORNERSTONE OCCUPATIONAL AND SPEECH THERAPY SERVICES
Entity type:Organization
Organization Name:CORNERSTONE OCCUPATIONAL AND SPEECH THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:STONE
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:716-880-5263
Mailing Address - Street 1:4 FLINT AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:NY
Mailing Address - Zip Code:14001-1325
Mailing Address - Country:US
Mailing Address - Phone:716-880-5263
Mailing Address - Fax:
Practice Address - Street 1:4 FLINT AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:NY
Practice Address - Zip Code:14001-1325
Practice Address - Country:US
Practice Address - Phone:716-880-5263
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-31
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty