| NPI | 1023312394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YURIY KHAIMOV President 917-881-8331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 020991-1) |
| Enumeration Date | 2010-12-30 |
| Last Update Date | 2010-12-30 |