| NPI | 1124604384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA VAZURA Speech Language Pathologist 347-828-3498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2021-03-19 |