| NPI | 1821515073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE A CARNIVALE President 516-510-1609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 024463) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2017-08-28 |