| NPI | 1932465556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA RYAN CESARE Psychologist 516-244-8368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 018952) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2012-04-09 |