| NPI | 1083161780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA NOEL Special Instructor 917-310-8997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 803275) |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2016-09-09 |