| NPI | 1588719041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ANN ROGACKI Director 631-363-5794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2018-04-24 |