| NPI | 1942546338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAN MATTHAEY Psychologist 516-448-2524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 018283) |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2013-01-28 |