| NPI | 1295103877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLADYS MONCAYO Speech Language Pathogist 631-241-8431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 023615-1) |
| Enumeration Date | 2015-09-12 |
| Last Update Date | 2015-09-12 |