| NPI | 1891147088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATIANA BULANOV President 917-882-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 020707) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |