| NPI | 1003213489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTINA DORAZIO Psychologist 917-969-9560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 020915) |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2014-12-01 |