| NPI | 1184155038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YASMIN BETANCES Speech Pathologist 646-261-3976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 015446-1) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NJ 41YS00852800) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2017-03-22 |