| NPI | 1750997573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE T MELILLO COO 516-581-3222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2020-09-17 |