| NPI | 1528564341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA DONOHUE Office Manager 516-238-0253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 085081) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2018-04-02 |