| NPI | 1013229079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE GRANDA-GILBERT President 718-268-8081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 7280) |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2010-08-16 |