| NPI | 1588879985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE FRANCES MARAVILLA Occupational Therapy 718-791-8423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: NY 005784) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |