| NPI | 1225489867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANA FEDYUKOVA Owner 917-744-3256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11546) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL 11419) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2016-06-24 |