| NPI | 1700181807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE JOHN NICKEL Director 718-494-5923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2011-01-20 |