| NPI | 1962803346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA CECILIA FONTAN Owner 646-353-8513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA11052) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-09-04 |