| NPI | 1093949893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILYA Y BURSHTEYN Owner 212-288-3474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2009-05-09 |