| NPI | 1962417824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN SHELOV Chairman, Department Of Pediatrics 718-283-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2020-08-22 |