| NPI | 1740861277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA GRAMSTORFF Speech Language Pathologist 631-871-4292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2021-04-16 |