| NPI | 1932798592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY DIRUZZO THOMAS Practice Administrator 315-552-0406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-01-18 |
| Last Update Date | 2024-01-18 |