| NPI | 1023476090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA RILEY MATUSIAK Speech/ Languge Pathologist Owner 516-627-3036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 06885) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 06885) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-02-12 |