| NPI | 1497375406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE KRYSTAL LAKE Speech Language Pathologist 914-810-3475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2020-04-20 |