| NPI | 1962096982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE RUTLEDGE Speech Pathologist 917-519-3004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2021-02-22 |