| NPI | 1740611029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADONNA BONNY Early Interventionist 718-207-0959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NY 001205-1) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2016-12-28 |