| NPI | 1306997796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD M ROMBOM Director 516-466-7077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0100X Psychologist Health Service (Licence: NY 6085) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2020-08-22 |