| NPI | 1316537087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW MASIELLO Director 646-410-6058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2021-01-26 |