| NPI | 1386097897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ROXANA GUTIERREZ Service Coordinator 718-354-6543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 362694726) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |