| NPI | 1023267093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE M BERGER Speech Pathologist 631-475-8557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 003501) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2012-12-06 |