| NPI | 1366751190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILANA GLISS Speech Language Pathologist 347-581-2835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2010-09-28 |