| NPI | 1235205360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J SALAMON Senior Director 516-596-0073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0700X Psychologist Adult Development & Aging (Licence: NY 010847) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NY 007842) |
| 103TC0700X Psychologist Clinical (Licence: NY 010263) | |
| 1041C0700X Social Worker Clinical (Licence: NY R0318131) | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2009-01-13 |