| NPI | 1790552651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILIA VELLOZO Speech Language Pathologist 917-409-8967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2023-12-11 |