| NPI | 1154884740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAFTALI WEINBERGER AO 718-298-4375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2021-07-23 |