| NPI | 1073709812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALINI PATCHA Administrator 631-351-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 162516) |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2014-12-23 |