| 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 |