| NPI | 1730500554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN J HALL Phychologist 718-268-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 015238-1) |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2013-12-20 |