| NPI | 1003279308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAHIR KHWAJA President 917-287-8207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2016-04-04 |