| NPI | 1861884033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA LONGO Director Of Medical Services 631-385-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2015-02-25 |