| NPI | 1912449687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN MARIE TULLY President 516-510-8266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 8015) |
| Enumeration Date | 2016-11-13 |
| Last Update Date | 2016-11-13 |