| NPI | 1518702356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE GIANNINO CEO/Owner 631-365-1504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2024-07-08 |