| NPI | 1780116616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA V VICTORIO President 516-395-3992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY PT024147) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |