| NPI | 1003864729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL SEMMELRATH Business Administrator 914-493-8198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 1041C0700X Social Worker, Clinical | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2008-04-09 |