| NPI | 1831749746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SADAF ROODBAEI President 631-327-7202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2019-09-13 |