| 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 |