| NPI | 1275953317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAISHALI PRAKASH KHANDARE Director 347-210-2963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: NY 010190) |
| Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: NY 010190) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2014-04-16 |