| NPI | 1821984436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTIN G DEAGAN Speech Language Pathologist 845-661-3669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-06-18 |
| Last Update Date | 2025-06-18 |