| NPI | 1942554134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA MANKOFF Owner/ President 631-532-9257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2022-07-21 |