| NPI | 1629589817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE ZITO Licensed Clinical Psychologist 631-656-6055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 022425) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2017-12-27 |