| NPI | 1124166145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID W. GOLDBERG Licensed Mental Heath Counselor 718-579-5156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC2000X General Acute Care Hospital, Children (Licence: NY 000334) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-08-22 |