NPI | 1043690068 |
---|---|
Entity Type | Organization |
Authorized Contact | JANICE M PETERKIN Speech Pathologist/Owner 718-324-3813 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 022656-1) |
Enumeration Date | 2015-06-04 |
Last Update Date | 2015-06-04 |