| NPI | 1508293200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN TUTTLE Coordinator Of Student Services 631-471-1890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 003531) |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2013-09-26 |