| NPI | 1043081292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEKSANDRA KRUNIC Medical Director 631-223-7739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2024-01-15 |