| NPI | 1972851087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANNA KARIYEV Owner 718-755-3218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 252Y00000X Early Intervention Provider Agency (Licence: NY 007517-1) | |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2025-12-03 |