| NPI | 1629331442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM V BONANNO President 718-702-5471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 1093188) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2012-06-18 |