| NPI | 1952068439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA HELDFOND Chief Administrative Officer 914-251-4158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2021-11-19 |