| NPI | 1376909077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMALI GRAY Speech Language Pathologist 646-246-4427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 4802311) |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2016-01-11 |