| NPI | 1902682545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELLEN BAKER Speech Language Pathologist 516-343-8548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2023-09-07 |