| NPI | 1104945484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA JIANNETTO Director 718-351-6604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 0116221) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |