| NPI | 1063924058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARA MAZEPA President 917-566-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 012278) |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2017-10-30 |