| NPI | 1790031789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRIS MARTINEZ Special Instructor 347-297-1880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 074729170) |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2012-07-27 |