| NPI | 1518229905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY PETRUCELLI Coordinator Lifestart Program 212-418-0320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 80895071) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 80901071) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |