| NPI | 1083981674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENA AVRUTIN-KHOTYLEV President 917-541-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 014692) |
| Enumeration Date | 2011-11-26 |
| Last Update Date | 2011-11-26 |