| NPI | 1053629477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASILDA BALMACEDA Medical Director 212-927-3327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 186529) |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2018-07-03 |