| NPI | 1730670100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLA LEZHANSKIY Specialist 646-824-1465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 926354151) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2018-05-22 |