| NPI | 1457874828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA SHAPIRO Owner 917-418-5985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 022097) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2022-07-21 |