| NPI | 1154725737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA SUE NAGEL Presiden T 718-788-9243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 012585) |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2014-10-10 |