| NPI | 1013442797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEATRICE B TESTER Occupational Therapist 347-268-2602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 0167441) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2017-05-01 |