| NPI | 1003141276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELMER TWENTE Owner 718-622-5796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 085548) |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2009-10-06 |