| NPI | 1174872535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA ISRAELSKI Licensed Clinical Social Worker 516-567-4727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 007226) |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2012-08-31 |