| NPI | 1760884464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIANN HAFORD Special Instruction Teacher 347-733-2746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 838527) |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2014-09-24 |