| NPI | 1285904078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONU SANGHOEE Manager 516-637-9974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 013299-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 013936-1) |
| 225100000X Physical Therapist (Licence: NY 019116) | |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2012-01-10 |