| NPI | 1073261558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSCAR LOPEZ TAMAYO Speech Pathologist 347-707-5192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2022-03-16 |