| NPI | 1639593098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA FUSCALDO Speech Pathologist 347-834-2755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2014-02-05 |