| NPI | 1386898674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE LONGO DEROSA Owner/Ota 914-722-6030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 014985-1) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 010538-1) |
| 174400000X Specialist (Licence: NY 64007240) | |
| 174400000X Specialist (Licence: NY 013851-1) | |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2008-11-12 |