| NPI | 1992175236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME M GAMATERO Physical Therapist 646-642-6598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 027029) |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2015-09-29 |