| NPI | 1386207728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIANA ANDREA LEONEL Speech Language Pathologist 718-986-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2019-04-22 |