| NPI | 1407793128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSHA MARIE LAWRENCE Slp/ Manager 917-864-7997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2026-04-30 |
| Last Update Date | 2026-04-30 |