| NPI | 1528847134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULISA CHRYSAFI Speech Language Pathologist 631-902-8318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2023-09-22 |