| NPI | 1033569702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE H FABER President 646-541-4245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 870225) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-14 |