| NPI | 1881912251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARISA ZIRKIYEV CEO 718-263-3363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 016525) |
| Additional Taxonomies | 251C00000X (Licence: NY 016525) |
| 251C00000X (Licence: NY 018761) | |
| 252Y00000X Early Intervention Provider Agency (Licence: NY 016525) | |
| 252Y00000X Early Intervention Provider Agency (Licence: NY 018761) | |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2019-07-26 |