| NPI | 1912262486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTINA L CARVER Provider Relations And Recruiting 914-328-2868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 984318001) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2012-07-10 |