| NPI | 1316185994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH JUDITH GORIN Clinic Coordinator 718-382-0045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 077671-1) |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2018-01-08 |