| NPI | 1548622210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN WISE President 646-942-7018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 02517) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |