| NPI | 1104008291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWEN S. KOROVIN Owner 212-879-6630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: NY 15000003624) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2007-11-29 |