| NPI | 1972133429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA KAHN Executive Director 917-656-3787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-01-23 |