| NPI | 1083842504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY ANTHONY MCKOY Psyd; Lmhc; Dapa; Bcpc 718-498-9898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 002750) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2009-08-21 |