| NPI | 1871003392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INESSA MOSHEYEVA Speech Language Pathologist 718-690-8438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2017-10-10 |