| NPI | 1023852811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVITAL NARKOLAYEV Occupational Therapist 917-373-4309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2024-07-25 |