| NPI | 1801244660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAOLA ANDREA TREJOS Speech And Language Pathologist 347-623-7007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 023548) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2016-06-01 |