| NPI | 1689951006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVONNE NIKIRK President 631-724-3231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 000756-1) |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2011-11-14 |