| NPI | 1760123350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA LEIGH THEMANN Speech Language Pathologist 631-560-9034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2022-04-06 |