| NPI | 1124695689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN A SCHWABISH Speech Language Pathologist 917-903-4482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2021-06-04 |