NPI | 1164886263 |
---|---|
Entity Type | Organization |
Authorized Contact | OLGA LYUBAROV President 917-406-7772 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 014851) |
Enumeration Date | 2016-04-05 |
Last Update Date | 2016-04-05 |