| NPI | 1457772915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA L. WEBER Psychologist 718-852-1340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 007879-01) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 7879-01) |
| 103TF0000X Psychologist, Family (Licence: NY 7879-01) | |
| 103TP0814X Psychologist, Psychoanalysis (Licence: NY 007879-01) | |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2013-12-30 |