| NPI | 1588053557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIE BLOCK Owner 347-677-3619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 58-107567) |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-01-14 |