NPI 1003169988

Mlw Developmental Evaluation Center

Organisation Early Intervention Provider Agency Syracuse, NY

Practice location

Address: 215 Bassett St, Syracuse, NY 13210-2113
Phone: (315) 472-4404

Authorised official

Name: Caroll Grant
Title: Director/School Psychologist
Phone: (315) 472-4404

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

Other Early Intervention Provider Agency providers in New York →

Registry record

NPI: 1003169988
Entity type: Organization
NPI issued: 17 Oct 2012
Record last updated: 17 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.