| 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 |