| NPI | 1033362884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURANGANEE MARY DE LANEROLLE President 631-246-5454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology | |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2008-10-24 |