| NPI | 1043468804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH GORIN Senior Clinic Admin Manager 718-382-0045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: 17626) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: P61499) |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist (Licence: 010451-1) | |
| 103T00000X Psychologist (Licence: 008625-1) | |
| 103T00000X Psychologist (Licence: P68013) | |
| 104100000X Social Worker (Licence: R027640-1) | |
| 104100000X Social Worker (Licence: R029898) | |
| 104100000X Social Worker (Licence: R033784-1) | |
| 1041C0700X Social Worker, Clinical (Licence: R023015-1) | |
| 1041C0700X Social Worker, Clinical (Licence: 63197) | |
| 1041C0700X Social Worker, Clinical (Licence: R050237-1) | |
| 1041C0700X Social Worker, Clinical (Licence: 078552-1) | |
| 1041C0700X Social Worker, Clinical (Licence: 066002-1) | |
| 251S00000X (Licence: NY 7637100A) | |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2023-08-08 |