| NPI | 1598119745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERLYS FELIZ Special Education Teacher 917-873-3669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 1155331) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 1155331) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2016-04-14 |