| NPI | 1861696817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BARRY EBERLIN Director & Managing Member 516-558-7490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 009143-1) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2025-10-28 |