| NPI | 1750865507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA IVONE ALVARADO Speech Language Pathologist 917-647-7348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2018-09-18 |