| NPI | 1669855748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRIAM C MOORE Director / President 631-543-6765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 004015) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |