| NPI | 1225283914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA TALBOT Speech Language Pathologist 631-676-5769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 008357-1) |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2008-11-21 |