NPI | 1669747028 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGIE RUMALDO Executive Clinical Director 718-701-5833 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 018457) |
Enumeration Date | 2012-03-19 |
Last Update Date | 2017-10-03 |