| NPI | 1417165168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN MCKEE Program Coordinator 585-943-4624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| 235Z00000X Speech-Language Pathologist, (Licence: VA 2202004163) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2023-02-07 |