NPI | 1396038923 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACEY POLIZZI President 845-825-9491 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 017793) |
Enumeration Date | 2011-05-16 |
Last Update Date | 2011-05-16 |