| NPI | 1346631686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY A ENGEL Clinical Social Worker 917-400-8717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: NY PR020768-1) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2015-02-09 |