| NPI | 1457595472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA N/A MATUSIAK Co Director 516-627-3036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 6885) |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2016-01-08 |