| NPI | 1861263162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARVEY GALIDO MENDOZA Physical Therapist 646-427-3715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2024-01-15 |