| NPI | 1033124821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHEA KELLIGREW Medical Billing Manager 914-631-3640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 205230) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2009-04-01 |