| NPI | 1689134124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALI GAUVIN Co Owner 516-456-4706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 2080P0202X Pediatrics, Pediatric Cardiology | |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2022-04-04 |