| NPI | 1508134305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHANA F MOHABIR Speech Language Pathologist 917-669-1991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 0614371) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2011-12-07 |