| NPI | 1407147036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSARIO ESTELA RIVAS LOPEZ Speech Language Pathologist 347-596-5935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 015519-1) |
| Enumeration Date | 2011-04-30 |
| Last Update Date | 2011-04-30 |