| NPI | 1942582325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIOLLETA FUZAYLOV Speech Language Pathologist 347-738-1197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NY 019822) |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |