| NPI | 1477823268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOLORES C ESTEVEZ Office Manager 917-294-4725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY RO54425-1) |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2012-01-10 |