| NPI | 1902442809 |
|---|---|
| Former Legal Business Name | ISLAND WIDE SPEECH |
| Entity Type | Organization |
| Authorized Contact | FARA EILEEN AUGUSTOVER Owner/Speech Language Pathologist 516-508-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2019-11-26 |