| NPI | 1295201630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLIMA ZELLERMAIER Speech Language Pathologist 718-972-2602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2018-10-23 |