| NPI | 1669906889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL CHERTOK Owner 516-698-5511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 085396-1) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2019-01-17 |