| NPI | 1194304337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAKYTZHAMAL RAMAZANOVA Speech Language Pathologist 347-278-2412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2021-04-05 |