| NPI | 1578995312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND GONZALEZ Speech Language Pathologist 718-510-3770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 017478) |
| Enumeration Date | 2013-08-03 |
| Last Update Date | 2013-08-03 |