NPI | 1003168212 |
---|---|
Entity Type | Organization |
Authorized Contact | YELENA PEREVOZKINA Speech Language Pathologist 718-300-8357 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 021229) |
Enumeration Date | 2012-10-11 |
Last Update Date | 2012-10-11 |