| NPI | 1255686028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VADIM SULER Si 646-382-1478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 36000415) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2012-07-18 |