| NPI | 1295804656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN CIRILLO Partner 718-380-0835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 008366) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R0487761) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |