NPI | 1043248776 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY DURLOFSKY Owner 888-515-3834 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 013758) |
Additional Taxonomies | 363A00000X Physician Assistant |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
1041C0700X Social Worker, Clinical | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
Enumeration Date | 2006-06-29 |
Last Update Date | 2022-11-09 |