| NPI | 1639578107 |
|---|---|
| Doing Business As | LEGENDARY THERAPY |
| Entity Type | Organization |
| Authorized Contact | RACHEL WEISS Director 917-744-3976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 011183) |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-08-20 |