| NPI | 1780395558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA WEBER Speech Language Pathologist 516-319-2379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2022-12-12 |