NPI | 1821786815 |
---|---|
Entity Type | Organization |
Authorized Contact | DOV NEWMARK President 718-298-2753 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2023-04-27 |
Last Update Date | 2023-04-27 |