| NPI | 1639532856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE BIRNBACH Sole Operator 917-747-0531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 6554) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2016-04-04 |