| NPI | 1164175105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL WEISER Owner 845-425-0982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TF0000X Psychologist, Family | |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2024-01-10 |