| NPI | 1568006260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMAR BLANK President 347-766-5771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TF0000X Psychologist, Family | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-05 |