| NPI | 1942975891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEAL MCINNES Speech Pathologist 631-824-3195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2021-08-12 |