| NPI | 1013556992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIE COHEN Md 516-457-4864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-12-25 |
| Last Update Date | 2020-08-24 |