| NPI | 1821419144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER KORNREICH Clinical Psychologist/Director 631-424-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 018847) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 018847) |
| Enumeration Date | 2014-01-05 |
| Last Update Date | 2014-01-07 |