| NPI | 1528080603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL A SEMMELRATH Business Administrator 914-496-8198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 004185) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2019-05-22 |