| NPI | 1982184560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YASMIN BETANCES Speech Language Pathologist 646-261-3976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 015446-1) |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2018-08-14 |