| NPI | 1942505094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN M. OBERDORF Speech Language Pathologist 315-332-3342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 007021) |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2011-01-21 |