| NPI | 1922398239 |
|---|---|
| Doing Business As | SELF-EMPLOYMENT |
| Entity Type | Organization |
| Authorized Contact | ESTER PASCUAL MENDOZA Npp( Psychiatry ) 718-457-7998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY F401266) |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2011-04-08 |