| NPI | 1073860813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA A GIAMBONE Speech Language Pathologist 631-525-7514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2012-08-10 |