| NPI | 1114844818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULISSA MICHELLE RODRIGUEZ Speech Language Pathologist 917-444-6468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2026-07-02 |
| Last Update Date | 2026-07-02 |