| NPI | 1659902401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA KUNDINOVA Speech Language Pathologist 718-413-6039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-01-30 |