| NPI | 1437785193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA M LAZON EGUSQUIZA Speech Pathologist 347-806-4632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2020-03-16 |