| NPI | 1801187067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GBENGA JOHN FALANA Physical Therapist 718-414-4588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 013411-1) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2011-04-22 |