| NPI | 1083687198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SLAVINA GARDELLA M.D. Partner 516-488-1888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 121202) |
| 174400000X Specialist (Licence: NY 216051) | |
| 174400000X Specialist (Licence: NY 156720) | |
| 174400000X Specialist (Licence: NY 212793) | |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2023-02-28 |