| NPI | 1972851087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM PEYKAR-KARIYEV Owner 718-755-3218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 007517-1) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2024-05-23 |