| NPI | 1063858991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACEMON KURIAKOSE CEO 646-331-7345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 225100000X Physical Therapist | |
| 225500000X Specialist/Technologist | |
| 225X00000X Occupational Therapist | |
| 227800000X Respiratory Therapist, Certified | |
| Enumeration Date | 2013-05-19 |
| Last Update Date | 2013-05-19 |