| NPI | 1407092851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC A JANOSON President 516-304-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NY 006325) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: NY 006325) |
| 103TC0700X Psychologist, Clinical (Licence: NY 006325) | |
| 103TF0200X Psychologist, Forensic (Licence: NY 006325) | |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2009-01-06 |