| NPI | 1932416286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM DOLAN Director 718-437-2240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 002872) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 026623) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2010-09-08 |