| NPI | 1255748331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSIE NOORDYK Speech Language Pathologist 315-777-8053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 021496) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2014-07-21 |