| NPI | 1174119218 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JAY AREM Admin 917-751-8706  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical | 
| Additional Taxonomies | 103T00000X Psychologist | 
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2020-12-14 | 
| Last Update Date | 2020-12-14 |