| NPI | 1720009715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN NAIDUS Clinic Director 516-378-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY 2950200R) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 280208997798) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2016-12-01 |