| NPI | 1740206010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARI POWELL Office Manager 518-392-7314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 011531) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 0096811) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2015-01-09 |