| NPI | 1659894566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK CONFORTI Director 718-833-2094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 010645-1) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 020854-1) |
| Enumeration Date | 2017-07-23 |
| Last Update Date | 2022-07-21 |