| NPI | 1083887913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BORIS A KONNIKOW President 718-263-3355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 204106) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-04-14 |