| NPI | 1356639165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGUERITE MARY MIKULSKI Director 585-343-1840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 002134-1) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 006394-1) |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2011-07-13 |