| NPI | 1861843179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORLINE JEAN Speech Language Pathologist 917-365-5013 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2016-06-28 |