| NPI | 1740920362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN HICKS President 845-518-0649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2024-01-05 |