| NPI | 1396378055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YULIYA VAYNRUB Office Manager 917-657-0290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0700X Psychologist, Adult Development & Aging |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |