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 |