| NPI | 1528579703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRA STOKAR Manager 201-410-3873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14991) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2018-03-17 |