| NPI | 1396988671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP ANTHONY BONGIORNO President 516-826-4448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 4170) |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2009-04-15 |