| NPI | 1568175057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE JERET Speech Language Pathologist 516-578-2395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2022-12-30 |
| Last Update Date | 2023-01-25 |