| NPI | 1801402011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PELESIA A FIELDS Speech Language Pathologist 914-924-3768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |