| NPI | 1700235504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL DERUVO Speech Language Pathologist 917-273-1448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |