| NPI | 1245752971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ANN KAUFMAN Owner/Manager 631-543-8577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 008998) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2017-07-14 |