NPI | 1417286444 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDOLPH CABAN COO 718-734-1764 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 11302) |
Enumeration Date | 2009-12-22 |
Last Update Date | 2012-06-29 |