| NPI | 1659819514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FIORDALIZA ROMANO Speech Language Pathologist 917-399-7281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: NJ 41YS00600200) |
| Additional Taxonomies | 305S00000X Point of Service (Licence: NY 0188081) |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2017-02-10 |