| NPI | 1861935942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN LIZARDO Aba Provider 718-313-6979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 800913131) |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2016-11-22 |