| NPI | 1114212545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN MARIE LAIDE Slp 718-318-0306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 011054) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2011-06-14 |