| NPI | 1801404215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE KALOGIANNIS Manager 917-656-4696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 251B00000X Case Management | |
| 251S00000X | |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-07-21 |