| NPI | 1407130909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT M. LIQUORI President 631-444-5354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 014010-1) |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2011-10-03 |