| NPI | 1184974628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA MARIE OLIVA Speech Language Pathology 631-831-1028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NY 725799) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2012-09-14 |