| NPI | 1962369553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY CORAL Speech Language Pathologist 917-657-4932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2026-01-06 |
| Last Update Date | 2026-01-06 |