NPI | 1205364437 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANGELICA LEO Speech Language Pathologist/Partner 718-848-0875 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 025077-1) |
235Z00000X Speech-Language Pathologist, (Licence: NY 020061-1) | |
251B00000X Case Management | |
Enumeration Date | 2017-06-01 |
Last Update Date | 2022-07-21 |