| NPI | 1508264086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA COANE Office Manager 631-681-4754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 082048) |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2014-12-15 |