| NPI | 1033610084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERI CHERNUCHIN Member/Psychologist 516-921-0183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 012853) |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2023-06-05 |