| NPI | 1275791972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LOUIS VILLANELLA Sole Member 631-482-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 014582) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |