| NPI | 1124137971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL N GUERRA President/Director 917-566-3840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 014289) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2012-10-10 |