| NPI | 1750864435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REZIA YOSHIKA LUKE Speech Language Pathologist 718-913-3494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2018-09-10 |