| NPI | 1083303168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGDALA NOEL Owner, Speech Language Pathologist 516-462-1045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2023-05-03 |