NPI | 1730665043 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTIANA M NEOPHYTOU Owner 631-240-3579 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 025056) |
Enumeration Date | 2018-07-19 |
Last Update Date | 2020-09-09 |