| NPI | 1568783876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUHAMMAD ABDUL ALIM TAN Otr/L / Staff Ot 516-620-3510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 009397) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2010-06-21 |