NPI | 1306220066 |
---|---|
Entity Type | Organization |
Authorized Contact | GISELA LOPEZ Speech Language Pathologist 917-822-8630 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 023698) |
Enumeration Date | 2015-07-13 |
Last Update Date | 2015-07-13 |