NPI | 1003049743 |
---|---|
Entity Type | Organization |
Authorized Contact | JACQELINE B PEVNY President 917-699-4391 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: FL ME81382) |
Enumeration Date | 2009-08-28 |
Last Update Date | 2024-08-19 |