| NPI | 1831567809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ELICE Medical Director 516-802-5027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: NY 1325791) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |