| NPI | 1619743390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA BAGIROVA Speech Language Pathologist 917-601-1690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2023-12-04 |