| NPI | 1295249001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY A WELCH Biller 718-863-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 5577) |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2017-12-01 |