| NPI | 1942751839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA SUSER Occupational Therapist 718-585-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: NY 009060) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |