| NPI | 1497176127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY PAULA LATELLA-ZKHIREH Psychologist 718-268-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS017489) |
| Enumeration Date | 2013-12-24 |
| Last Update Date | 2013-12-24 |