| NPI | 1275964728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON POLISH Director 516-327-4681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NY 004696) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 017232) |
| 225X00000X Occupational Therapist (Licence: NY 003634) | |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2013-12-10 |