| NPI | 1497017255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ULETTE FIELDS Staffing Coordinator 718-830-9274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 391713101) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-06-07 |