| NPI | 1689039216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLINE VEYTSMAN Speech Pathologist 917-693-2172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NJ 41YS00485000) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 012241-1) |
| Enumeration Date | 2015-12-26 |
| Last Update Date | 2015-12-26 |