| NPI | 1790145753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTINE LABUSH President/Slp 347-386-4961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 015159-1) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |