| NPI | 1003323049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAN ANGELITO Md 212-734-6621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 126705) |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2023-01-23 |