| NPI | 1174007363 |
|---|---|
| Former Legal Business Name | GOTHAM MFT, PLLC |
| Other Name | GOTHAM MARRIAGE AND FAMILY THERAPY, PLLC |
| Entity Type | Organization |
| Authorized Contact | ANDI LYN KORNFELD Owner 646-469-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2023-08-23 |