| NPI | 1821315508 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JUDITH ANNE NAGIB Psychologist 845-680-8094 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: NY 5) | 
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 003146) | 
| Enumeration Date | 2010-04-21 | 
| Last Update Date | 2022-07-21 |