| NPI | 1790350288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY RYMER4 Speech Language Pathologist 347-322-5001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2021-05-26 |