| NPI | 1124399928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN J GOLDBERG Psychologist/Owner 516-848-8551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 017826) |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-01-25 |