| NPI | 1467791087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA MIRIELLO Director 718-943-6202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 015773-1) |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2013-11-06 |