| NPI | 1184896417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH REED DEROSA Co Director 516-858-4328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral (Licence: NY 012978) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |