| NPI | 1043341324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA KHARITONOVA Physician 718-238-2285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 208942) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-10-15 |