| NPI | 1003317017 |
|---|---|
| Doing Business As | MICHELINE MESIDOR |
| Entity Type | Organization |
| Authorized Contact | MICHELINE MESIDOR Special Instructor 347-410-3248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 328194) |
| Enumeration Date | 2018-02-24 |
| Last Update Date | 2018-08-17 |