NPI | 1013353853 |
---|---|
Entity Type | Organization |
Authorized Contact | IRINA BREYTUS Ccc Slp 646-400-3860 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 020936) |
Enumeration Date | 2013-05-20 |
Last Update Date | 2013-05-20 |