| NPI | 1366894750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY LEIGH PELLETTIERI Clinical Director 516-680-5967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 056086R) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2023-05-15 |