| NPI | 1407217763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ZIMMERMAN President 631-643-6205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R029359) |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2016-03-15 |