NPI | 1639621204 |
---|---|
Doing Business As | PRIVATE PSYCHOTHERAPY PRACTICE |
Entity Type | Organization |
Authorized Contact | DIANE LYNNE ESPER Licensed Psychoanalyst 917-841-2459 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 000721) |
Enumeration Date | 2016-10-31 |
Last Update Date | 2016-10-31 |