| NPI | 1407964182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE SANDY HAYAG BUCO President 718-854-9055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2026-06-17 |