| NPI | 1003170630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN J MINASIAN President 845-485-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 012403) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 012403) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 012403) | |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2012-06-28 |