| NPI | 1104328988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY A IVRY President 516-458-3909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 086522-1) |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-03-07 |