| NPI | 1013131465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM PAYNE Psychologist 516-390-3525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2010-06-03 |