| NPI | 1518184712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL ANNE FRYE Director 518-458-2314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 021525) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2017-03-06 |