NPI | 1629374707 |
---|---|
Entity Type | Organization |
Authorized Contact | LORIGAY LASKIN Contract Manager 718-468-4747 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 80000000067532) |
Enumeration Date | 2011-02-07 |
Last Update Date | 2011-02-07 |