| NPI | 1437396249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JO VAHEY Payroll 718-597-5558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 003947-1) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2009-01-15 |