| NPI | 1083047971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PINA PATEL-PULIPATI Director 631-654-2386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 266254) |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NY 266254) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2013-08-14 |