| NPI | 1124678842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEKSANDR ZVERINSKIY President 718-669-0956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 2083A0300X Preventive Medicine Addiction Medicine |
| 2084P0015X Psychiatry & Neurology Psychosomatic Medicine | |
| Enumeration Date | 2019-09-14 |
| Last Update Date | 2019-09-14 |