| NPI | 1326092396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDE ALEXANDRE Clinic Director 718-855-7707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 009398-3) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 014362-1) |
| 103T00000X Psychologist (Licence: NY 007089-1) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: NY 011875-1) | |
| 207R00000X Internal Medicine (Licence: NY 163890-1) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 082372-1) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 127961-1) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 205290-1) | |
| 213E00000X Podiatrist (Licence: NY N003927-1) | |
| 225100000X Physical Therapist (Licence: NY 012668-1) | |
| 225100000X Physical Therapist (Licence: NY 016801-1) | |
| 225X00000X Occupational Therapist (Licence: NY 010626-1) | |
| 231H00000X Audiologist (Licence: NY 000959-1) | |
| 363A00000X Physician Assistant (Licence: NY 000577-1) | |
| 363L00000X Nurse Practitioner (Licence: NY F381397-1) | |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2015-08-14 |