NPI | 1265898696 |
---|---|
Entity Type | Organization |
Authorized Contact | ADEENA JACOBSON Owner/Clinician 917-882-2744 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
Additional Taxonomies | 103K00000X Behavior Analyst |
2251P0200X Physical Therapist Pediatrics | |
225XP0200X Occupational Therapist Pediatrics | |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2016-01-14 |
Last Update Date | 2025-01-08 |