| NPI | 1114156528 |
|---|---|
| Doing Business As | PEDS PROGRAM |
| Entity Type | Organization |
| Authorized Contact | ANTHONY MALONE Chairman 518-782-7733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2014-10-15 |