| NPI | 1679308738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE MASHKEVICH Manager 917-318-2233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2024-09-06 |
| Last Update Date | 2024-09-06 |