| NPI | 1700242476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY FUERTES Occupational Therapist 917-250-1844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2016-01-11 |