| NPI | 1730482316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY COHEN-MEISSNER Owner 917-796-6606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 012780) |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2010-12-21 |