| NPI | 1376916676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | D SUSAN GROARK Speech Language Pathologist 516-889-4691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 007 378-1) |
| Additional Taxonomies | 251E00000X Home Health (Licence: NY 007 378-1) |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2015-11-09 |