| NPI | 1811227671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DANIEL MIRAN President 585-473-3558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 005412-1) |
| Enumeration Date | 2009-12-30 |
| Last Update Date | 2009-12-30 |