| NPI | 1588449961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYANN WODZINSKI Speech Language Pathologist 917-414-5634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2023-08-25 |
| Last Update Date | 2023-08-25 |