| NPI | 1225697121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA DENARDO Cm & Credentialing Manager 631-385-7780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2019-06-13 |