| NPI | 1619423134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YELENA BEREZENKO Director 917-553-0424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 017071) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-08-26 |