| NPI | 1194207233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YITZCHOK COHEN Manager 917-627-6384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2020-02-17 |