| NPI | 1356274567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIMEE LISSETTE PINA Speech Language Pathologist 631-790-2185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2026-06-06 |
| Last Update Date | 2026-06-06 |