| NPI | 1447869961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE PANEBIANCO Occupational Therapist 631-404-6264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-07-30 |