| NPI | 1629364724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL CHIN Physical Therapist 347-453-4508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 0260871) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 0127191) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2015-07-27 |