| NPI | 1457575482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGGIE MCKEON Office Manager 914-949-0034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 000619-1) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: NY 15000011852) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2012-11-29 |