| NPI | 1063775310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRIS N/A FUENTES Special Instructor 718-597-5558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 606668) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2012-06-21 |