| NPI | 1811134943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRI NICASTRO-PALUMBO Owner/Ot 914-722-6030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 010538-1) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 64007240) |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 014985-1) | |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2009-01-12 |