| NPI | 1235251497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY PANTALENO Director 631-543-8336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 009000) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |