| NPI | 1306311618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASTGHIK SHMAVONYAN Special Educator 718-879-2565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2018-10-12 |