| NPI | 1740537927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA R. BURGIO Clinical Director 718-522-6517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 010697) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2012-08-08 |