| NPI | 1003786641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON BONGO Speech Language Pathologist 914-841-5051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-11-10 |
| Last Update Date | 2025-11-10 |