| NPI | 1518620707 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DONNA ALVUT Speech Language Pathologist 585-613-5955  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, | 
| Enumeration Date | 2021-10-15 | 
| Last Update Date | 2021-10-15 |