| NPI | 1609432608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSUELO URIBE Speech Language Pathologist 646-528-4165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-05-15 |