| NPI | 1760121933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESPERANZA RUIZ JUNCO Speech Language Pathologist 631-455-2757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2024-01-06 |