NPI | 1992113369 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER DIBENEDETTO Licensed Clinical Social Worker 914-419-9962 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NY R038276-1) |
Enumeration Date | 2014-07-29 |
Last Update Date | 2014-07-29 |