| NPI | 1447348859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW JOSEPH DORTONA Clinical Psychologist Secretary Apc 607-737-1235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |