| NPI | 1063663862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA PALMER BEAULAC Speech Language Pathologist 516-279-9389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 010-835-1) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2008-10-10 |