| NPI | 1023396371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND TAM Owner 718-459-1225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 195108-1) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2011-08-03 |