| NPI | 1649862053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COTTICHIA J BURKE Speech Language Pathologist 718-593-7199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-02-07 |
| Last Update Date | 2021-02-07 |