| NPI | 1518400159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN S TUKMAN Owner 631-499-6333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R021878-1) |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2017-01-06 |