| NPI | 1336764794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA MARIE TIOLECO Sole Shareholder 347-387-3873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| 224ZF0002X Occupational Therapy Assistant, Feeding, Eating & Swallowing | |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2022-08-05 |