| NPI | 1568771442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY FRANCES MACEDONIO Owner 646-239-8210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 01816-2) |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2024-04-10 |