| NPI | 1639419823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA-ANNE BYERS Speech Language Pathologist 516-770-2972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: NY 251300000x) |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2013-02-25 |