| NPI | 1205501640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INGRID MARYANSKY Speech Language Pathologist 917-579-3161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2021-08-09 |