| NPI | 1760880033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN BASHKOFF Sole Member 917-375-2037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 019031) |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2014-12-18 |