| NPI | 1093960445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE SHIWBALAK Speech Pathologist 917-373-0511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2008-11-26 |