| NPI | 1063690865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL V. GENOVESE Psychiarty 516-747-1470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 236638) |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2011-11-16 |