NPI | 1770520116 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY V SANTORO Psychologist 516-978-8294 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 013294) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2006-06-02 |
Last Update Date | 2023-02-01 |