| NPI | 1538411319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI H. KOFFLER Chairman 917-696-2171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 002141) |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2012-10-04 |