| NPI | 1073015392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATINA BURKETT Office Manager 917-495-1978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 251B00000X Case Management | |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2023-09-06 |