| NPI | 1497709588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNI NICOLE WALDMAN Psychologist 914-961-8412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 0154791) |
| Enumeration Date | 2006-05-21 |
| Last Update Date | 2016-04-07 |