| NPI | 1417473265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA OSMANOVA Speech Language Pathologist 347-675-1587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2022-05-29 |