| NPI | 1942803978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA KRIVICH Incorporator 718-288-3391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2020-11-20 |