| NPI | 1053050591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA MUKHERJEE Director Of Revenue Cycle 754-261-8405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2022-06-02 |