| 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 |