| NPI | 1245748458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA KARL Speech Language Pathologist 631-926-3871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 5986) |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2018-01-22 |