| NPI | 1053616516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA A HUGHES Licensed Psychologist 516-353-0991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NY 015574) |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2011-01-13 |