| NPI | 1437672672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YELENA LOBANOV Slp 646-912-2551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 022690) |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2017-07-19 |