NPI | 1164794152 |
---|---|
Entity Type | Organization |
Authorized Contact | OKSANA PAVLYUK Ccc Slp 212-767-9957 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 019966) |
Enumeration Date | 2012-02-06 |
Last Update Date | 2012-02-06 |