| NPI | 1164678397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE J TEPPER Vice President 212-787-5250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS-008299-L) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2008-08-07 |