| NPI | 1518640069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY M JURGENS Speech Language Pathologist 516-382-1771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-08-10 |
| Last Update Date | 2023-08-10 |