| NPI | 1508812116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY SORRENTINO Chief Financial Officer 518-463-0832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2024-05-02 |