NPI | 1598208381 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE GOFMAN President 347-553-7566 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 025929) |
Enumeration Date | 2016-11-28 |
Last Update Date | 2016-11-28 |