| NPI | 1770874182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM DEASE Executive Director 212-203-4170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 007477) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 025953) |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 012073) | |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2016-06-14 |