| NPI | 1023251105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA FISCHER Administrator/Director 631-863-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY E120070906) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-04-20 |