| NPI | 1891292660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC JANOSON President 516-304-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 006325-1) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 006325-1) |
| 103TC0700X Psychologist, Clinical (Licence: NY 006325-1) | |
| 103TF0200X Psychologist, Forensic (Licence: NY 006325-1) | |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-09 |