| NPI | 1033161104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN FRIED Supervising Psychologist 917-922-1751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 011416) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-22 |