| NPI | 1902051519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA TENEYCK Occupational Therapist 315-345-4395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 012769) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2008-11-24 |