Neurofeedback Therapy Services Of New York
Social Worker, Clinical in New York, NY. Organization (NPI-2).
NPI number1164070090
StatusActive
Last updated in NPPESSep 4, 2019
Details
- NPI
- 1164070090
- Entity type
- Organization (NPI-2)
- Legal business name
- Neurofeedback Therapy Services Of New York
- Organization subpart
- No
- Enumeration date
- Sep 4, 2019
- Last updated
- Sep 4, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
140 W 79th St Apt 2bNew York, NY 10024-6423
Phone 212-877-7929
Mailing address
140 W 79th St Apt 2bNew York, NY 10024-6423
Phone 212-877-7929
Authorized official
Mark Llewellyn Smith
Owner
2128777929
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