| NPI | 1114282274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANOUCHEHR LAVIAN Owner 845-341-1805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 163228-1) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2012-11-20 |