NPI | 1265644488 |
---|---|
Entity Type | Organization |
Authorized Contact | BARBARA BLACK KOLTUV President 212-982-6707 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: NY Psychologist 2950) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2020-08-22 |