| NPI | 1649604109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY L. DATINO Executive Director 914-588-8088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 653) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 7546) |
| 235Z00000X Speech-Language Pathologist, (Licence: CT 4589) | |
| Enumeration Date | 2013-09-02 |
| Last Update Date | 2013-10-28 |