| NPI | 1790921799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN L CARVER Psychologist 516-593-7825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 013641) |
| Enumeration Date | 2008-12-21 |
| Last Update Date | 2008-12-21 |