| NPI | 1962010827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMON ZYSMAN President 516-448-9834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-16 |