| NPI | 1699255844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI KOFFLER President 917-696-2171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 02141) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 014220) |
| 1041C0700X Social Worker, Clinical (Licence: 097381) | |
| 225100000X Physical Therapist (Licence: NY 035660) | |
| 225X00000X Occupational Therapist (Licence: NY 016818) | |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 002141) | |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2018-08-17 |