| NPI | 1790302438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INGRID SHARON NUNEZ Owner 917-587-4819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2022-10-20 |