| NPI | 1114215860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISETTE LAUDADIO Owner 718-232-1436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 017004) |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2011-07-15 |