| NPI | 1962572362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA POLANIK MILLER Licensed Psychologist 518-862-1665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 014323) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |