| NPI | 1922317254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN ELLEN LUBRANO Owner 516-482-2650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 000810-1) |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2012-08-02 |