| NPI | 1093336703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTHER LEBOVIC Owner 718-362-1411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2020-05-04 |