| NPI | 1770820011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYUDMILA KOGAN Owner 718-896-0243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 009118) |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-01-07 |