NPI | 1396116141 |
---|---|
Entity Type | Organization |
Authorized Contact | ANA ROSA BONIFACIO President 917-776-6305 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 754355971) |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 061068011) |
252Y00000X Early Intervention Provider Agency (Licence: NY 07074341) | |
Enumeration Date | 2015-10-19 |
Last Update Date | 2015-10-19 |