| NPI | 1871000950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELINA KUGEL Administrator 516-341-6215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 021703) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 021703) |
| 103TC0700X Psychologist, Clinical (Licence: NY 021808) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 021808) | |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2020-05-24 |