| NPI | 1750936753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDA-MAE MINTO-BROOKS Owner 516-860-9472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center Hearing and Speech |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2019-08-06 |