| NPI | 1245400217 |
|---|---|
| Other Name | EARLY INTERVENTION PROGRAM |
| Entity Type | Organization |
| Authorized Contact | JEAN M COPPOLA Billing Manager 718-651-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2008-03-06 |