| NPI | 1275058224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETRA BERNARD Therapist 917-495-7129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 100646935) |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) (Licence: NY 100646935) |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2017-08-11 |