NPI | 1093067704 |
---|---|
Entity Type | Organization |
Authorized Contact | SUZANNE MARIE RIZZO Vice President 631-499-5595 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 007782-1) |
Enumeration Date | 2012-10-04 |
Last Update Date | 2012-10-04 |