| NPI | 1255641270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONY A. SELVADURAI Assistant Vice President 718-270-1178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 22200) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-08 |