| NPI | 1861137291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZARRINA KHAFIZOVA President 347-593-7956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2022-04-29 |