| NPI | 1144559881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER G D'ELENA Psychologist President 631-786-8930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 015937) |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2009-12-09 |