| NPI | 1891259180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA YAKOBOV Speech Language Pathologist 347-475-9171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2019-01-30 |