| NPI | 1053121103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZIM NASIR Practice Manager 718-786-2998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2025-01-10 |
| Last Update Date | 2025-01-10 |