| NPI | 1104221084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY WEINSTEIN Owner 347-732-9646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 2038461) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |