| NPI | 1932520665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA PEZZULLO TATE Psychologist 718-268-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810003679) |
| Enumeration Date | 2013-12-24 |
| Last Update Date | 2013-12-24 |