| NPI | 1689708141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN FRIED Director 718-398-1962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 010968-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 068537-1) |
| 1041C0700X Social Worker, Clinical (Licence: NY R039026-1) | |
| 1041C0700X Social Worker, Clinical (Licence: NY R026783-1) | |
| 1041C0700X Social Worker, Clinical (Licence: NY R028034-1) | |
| 1041C0700X Social Worker, Clinical (Licence: NY R024309-1) | |
| 1041C0700X Social Worker, Clinical (Licence: NY R054940-1) | |
| 1041C0700X Social Worker, Clinical (Licence: NY PR016246-1) | |
| 1041C0700X Social Worker, Clinical (Licence: NY R073425-1) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |