| NPI | 1497116024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM THOMAS DAMELIO Mgrm 914-563-9343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7466) |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2020-03-13 |