| NPI | 1114391836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DMITRY KHODIK Special Education Teacher 917-613-4028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |