| NPI | 1083070635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHRAGA GOLD President 845-270-5296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 104100000X Social Worker | |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-09-02 |