NPI | 1750880043 |
---|---|
Entity Type | Organization |
Authorized Contact | ALAN GOTTFRIED President 516-680-8142 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 011659) |
Enumeration Date | 2018-02-02 |
Last Update Date | 2019-10-28 |