| NPI | 1124593447 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | NAOMI A SOCHACZEWSKI Speech Language Pathologist/Employe 845-521-2633  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, | 
| Enumeration Date | 2018-10-13 | 
| Last Update Date | 2018-10-13 |