| NPI | 1285179028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERGIS GAMEL Owner 917-337-0312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 015642) |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2017-01-03 |