| NPI | 1104105584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YULIYA POLISHCHUK President 718-513-3555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 024893) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2011-08-16 |