| NPI | 1194969188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL MAUTE Director Of Related Services 212-679-4319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 011425-1) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 018077-1) |
| 252Y00000X Early Intervention Provider Agency (Licence: NY 014495-1) | |
| 252Y00000X Early Intervention Provider Agency (Licence: NY 014561-1) | |
| 252Y00000X Early Intervention Provider Agency (Licence: NY 018642-1) | |
| 252Y00000X Early Intervention Provider Agency (Licence: NY 026861-1) | |
| 252Y00000X Early Intervention Provider Agency (Licence: NY 019464-1) | |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2009-04-22 |