| NPI | 1003692369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINELLY NIEVES Speech Language Pathologist 347-599-3380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-09-04 |
| Last Update Date | 2023-09-04 |