| NPI | 1871033860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE BIRNDORF Medical Director 917-734-0966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 204218-1) |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2017-05-02 |