NPI | 1689916413 |
---|---|
Doing Business As | ANNIE'S PLACE |
Entity Type | Organization |
Authorized Contact | MARIE LAUTATO Speech Language Pathologist 917-559-7005 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 0135111) |
Enumeration Date | 2013-03-19 |
Last Update Date | 2013-03-20 |