NPI | 1033571781 |
---|---|
Entity Type | Organization |
Authorized Contact | GABRIELLE B ROTHMAN Speech Language Pathologist 917-597-5709 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NY 013960-1) |
Enumeration Date | 2016-03-22 |
Last Update Date | 2016-03-22 |