| NPI | 1689923120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH GURZAKOVIC Speech Language Pathologist 718-614-0785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 021061) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2012-08-30 |