| NPI | 1821683889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE STEPHANIE HERNANDEZ Speech Language Pathologist 516-307-7359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2021-03-02 |