| NPI | 1518333475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE S MINARDO Owner 914-831-7969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 016545) |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2015-08-14 |