| NPI | 1659827749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA FREISE President 516-395-2359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA13537) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2016-09-01 |