| NPI | 1063248045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GULNAZ KIYAMOVA Authorized Official 518-429-9317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2024-09-09 |