| NPI | 1518681568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAPHAEL LICHTSHCEIN President 718-298-4375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2022-10-03 |