| NPI | 1720268451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BORIS MIROCHNIK Director Psychologist 718-967-1585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist Group Psychotherapy (Licence: NY R065562) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2007-11-09 |