| NPI | 1770846677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK MERCARDANTE Compliance Manager 516-731-5588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY XXXXXX998) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2012-06-17 |
| Last Update Date | 2012-06-17 |