| NPI | 1780360396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIELLA DEMINO Speech Language Pathologist 718-974-8744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2023-08-17 |