| NPI | 1316466857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ELIOT LEFFEL Director 917-403-4631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008161) |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2022-05-03 |