| NPI | 1346521820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN SULLIVAN Practice Manager 914-805-2547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 168332) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 168332) |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2011-09-21 |