| NPI | 1598067142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRINA BULMASH Otr/L 347-537-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 012758) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2010-12-01 |