| 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 |