| NPI | 1750678330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN STIMAN Member 914-874-5521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 228745) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 076063-1) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 228923) | |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2011-10-28 |