| NPI | 1912187766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYELLYN DUANE President 212-860-0042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 6931) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2008-04-28 |