| NPI | 1003368879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYELET P GOLDBERG Social Worker 917-923-7644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 082421) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2018-04-16 |