| NPI | 1124312566 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MULCHAND CHUGH Director 631-513-6262  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 245951)  | 
| Enumeration Date | 2011-06-02 | 
| Last Update Date | 2013-03-07 |