NPI | 1164718243 |
---|---|
Entity Type | Organization |
Authorized Contact | MARYLOUISE ANN BLOND President 516-937-0475 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 004222-1) |
Enumeration Date | 2011-06-27 |
Last Update Date | 2011-06-27 |