| NPI | 1568765154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARE BONAFEDE Principal 718-680-9751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 006383-1) |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2010-12-21 |