| NPI | 1508359589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH F ATANASIO President 862-216-8398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 021836) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: NY 021836) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: NY 021836) | |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2022-06-21 |