| NPI | 1639799216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRWIN LENEFSKY CEO 917-414-8676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral |
| 103TC1900X Psychologist Counseling | |
| 103TF0000X Psychologist Family | |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-04-23 |