| NPI | 1962198630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE J WETHERWAX Speech Language Pathologist 585-322-5265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2023-04-14 |