| NPI | 1760765259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTHER T ROTH Slp 718-436-6038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 019719) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |