| NPI | 1083722581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMON K TAN Sole Proprietor 716-689-3905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 097395) |
| Enumeration Date | 2006-08-26 |
| Last Update Date | 2020-08-22 |