| NPI | 1023489838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONID YAKUBOV Otr/L 718-213-3041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 017216) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2015-10-26 |