| NPI | 1134659493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER GARCIA Speech Language Pathologist 646-404-1349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 025539) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 025539) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2022-07-21 |