| NPI | 1295075513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEGBOYEGA OTUBANJO Speech Pathologist 347-546-5088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: NY 017807) |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2013-02-22 |