| NPI | 1114262524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YELENA LEVINTOV Owner 646-515-7969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 019350) |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2012-12-11 |