NPI | 1487195533 |
---|---|
Entity Type | Organization |
Authorized Contact | LENA SIANOV President 347-288-2664 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 1756430) |
Enumeration Date | 2017-03-08 |
Last Update Date | 2017-03-08 |