| NPI | 1053827899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH LEE POLLACK President 315-396-8398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 017488-1) |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2017-12-15 |