| NPI | 1043783244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE LEIGH FIORI Representative 718-635-2204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2019-01-10 |