| NPI | 1467199018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIVANI PATEL Speech Language Pathologist 516-592-9338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2022-05-16 |