NPI | 1700120029 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLY PALMA Owner 516-819-2626 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 018474) |
Enumeration Date | 2012-11-27 |
Last Update Date | 2012-11-27 |