| NPI | 1730547415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND F. ANGELINI Psychologist 518-583-2679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 009289) |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |