| NPI | 1043064942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCER NAGHDECHI Owner 646-363-6303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2024-04-16 |