| NPI | 1184903577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY ALAN LUBLIN Assistant Director 212-628-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 006485) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2011-08-16 |