| NPI | 1588804587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAFER ZYSMAN Mbr 631-647-7885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 010404-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 025669) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2009-03-03 |