| NPI | 1174154710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBYN STACI LUBELL Speech Language Pathologist 631-806-7584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2020-02-02 |
| Last Update Date | 2020-02-02 |