| NPI | 1376080267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE CHUPRIN Speech Language Pathologist 347-399-4836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 024928) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2017-01-30 |