| NPI | 1225647035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAIGE A SWANTEK Speech Language Pathologist 631-921-2599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-07-28 |