NPI | 1427597970 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE VANO Speech Language Pathologist 917-651-8453 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA sl013071) |
Enumeration Date | 2017-02-16 |
Last Update Date | 2017-02-16 |