| NPI | 1114432226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PUNAM PRABHAKAR Owner/Authorized Official 917-224-4496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2018-04-03 |