| NPI | 1770725525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL MAUTE Director Of Related Services 212-679-4319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 011425-1) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 026861-1) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: NY 019464-1) | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 014561-1) | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 014495-1) | |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 018077-1) | |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 018642-1) | |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2009-03-25 |