| NPI | 1720231004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIOU-JUNG HO Program Director 718-599-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 3529) |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker, Clinical | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 225X00000X Occupational Therapist | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2008-10-30 |