| NPI | 1508118241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN L PASSINO Speech Language Pathologist 518-355-6255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 58012846) |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2012-10-04 |