| NPI | 1619517398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ESFHANI Ex. Director 516-698-7087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2020-01-10 |