| NPI | 1992177315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA COSTA Member 646-326-1633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 015479) |
| Enumeration Date | 2015-10-25 |
| Last Update Date | 2015-10-25 |