| NPI | 1487880464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH A RICCARDI Clinical Supervisor Of Ot De PT. 917-273-2552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NY 006211-1) |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) (Licence: NY 006211-1) |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2009-06-04 |