| NPI | 1760290563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YULIANA KALANTAROVA Speech Language Pathologist 347-610-0883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-12-25 |
| Last Update Date | 2024-12-25 |