| NPI | 1104282110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS E. CONWAY President 631-864-2778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R026000-1) |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2016-02-08 |