| NPI | 1356788749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE VANESSA DAISY-ETIENNE Psychologist 516-255-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 0176671) |
| Enumeration Date | 2013-05-27 |
| Last Update Date | 2022-07-26 |