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 |