| NPI | 1578246658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA YUSUPOVA Special Education Teacher 646-399-4013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-08-07 |