| 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 |