NPI | 1063783843 |
---|---|
Former Name | RUBEN N ROSARIO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NY 022066) |
Additional Taxonomies | 103T00000X Psychologist (Licence: PR 4197) |
Enumeration Date | 2012-01-25 |
Last Update Date | 2020-08-26 |