NPI | 1063994960 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER CRUZ Authorized Delegated Official 201-487-1240 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2018-09-06 |
Last Update Date | 2018-12-27 |