| 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 |