| NPI | 1306774369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEIDRE HOPE KOTSIOPOULOS Speech Language Pathologist 631-987-9239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2026-05-11 |
| Last Update Date | 2026-05-11 |