| NPI | 1356563431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL S. CHITAYAT President 631-864-5535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 009723) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 009723) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NY 009723) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2018-02-09 |