| NPI | 1245642727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY GAWRYCH Psychologist 631-327-7081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 019572) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2014-06-02 |