| NPI | 1679610893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARITA SHAKHMUROV Clinical Social Worker 917-846-2538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R055855-1) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2012-08-30 |