| NPI | 1770120685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVILLE FRANCIS Staff Psychologist 914-385-1150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2019-12-10 |