| NPI | 1457120784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA NICOLE DIRUSSO Speech Language Pathologist 914-523-9757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-12-28 |
| Last Update Date | 2023-12-28 |