| NPI | 1912415134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YELENA MANITA Speech Language Pathologist 718-395-0032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 020522) |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2018-01-22 |