| NPI | 1790040566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA MONE'T VERENE Aba, Special Education Teacher 516-410-1396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 578727111) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2012-07-11 |