| NPI | 1972881209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYNAT GLAZ President 917-748-9332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 016625) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2011-08-03 |