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 |