| NPI | 1023580602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA JEFFERIES Speech Language Pathologist 347-977-7984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2018-12-20 |