| NPI | 1992112429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH BARD WINARICK President 917-369-1721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 005195) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-16 |