| NPI | 1841431509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLENE BALESTRA-MARKO Managing Member 315-701-5710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 001673) |
| Additional Taxonomies | 103TS0200X Psychologist School |
| 103TF0000X Psychologist Family | |
| 237600000X Audiologist-Hearing Aid Fitter | |
| 231H00000X Audiologist | |
| 231HA2500X Audiologist Assistive Technology Supplier | |
| 235Z00000X Speech-Language Pathologist | |
| 225X00000X Occupational Therapist | |
| 225XP0200X Occupational Therapist Pediatrics | |
| 2251P0200X Physical Therapist Pediatrics | |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2011-04-20 |