| NPI | 1780084673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNDELL MARCIA DAVIS-THOMAS Special Education Teacher 917-583-4937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 689745) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2014-08-27 |