| NPI | 1386498616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILY IVETTE NUNEZ Speech Language Pathologist 347-679-0809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-04-15 |