| NPI | 1821500174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADENA SHOSHAN President/Owner 585-454-9904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 019295) |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2017-10-26 |