| NPI | 1164883542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLADISLAV PODOLSKI Physical Therapist 917-923-8571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 022074) |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2016-03-14 |