| NPI | 1245756733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GERARD KUDRENETSKY President 917-504-2705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 129466689) |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2017-08-17 |