| NPI | 1922164383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YELENA RAZDOLSKAYA Psychologist 646-415-1915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 016210) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |