| NPI | 1831694926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA FORTE Executive Director 917-803-3637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2018-03-29 |