| NPI | 1124217195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GREGORY COTTONE Owner 631-941-2210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 017050-1) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-10-16 |