| NPI | 1073207965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE GELBTUCH Entitlement Specialist 718-854-2747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2023-06-05 |