| NPI | 1265789473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD PEREZ Otr 917-494-8499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 007965) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2012-08-07 |