| NPI | 1043490915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA NELSON Psychologist 646-512-0043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 016855) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2007-11-08 |