| NPI | 1104127224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RADMILA CHAIMOV Ota/L 347-492-5292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 007734-1) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2010-11-04 |