| NPI | 1568938595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVISHANKARA SHASTRY President 917-498-8192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2018-10-17 |