| NPI | 1205442845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER FEDERICO Speech Language Pathologist 646-571-8393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2021-04-23 |