| NPI | 1134368723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICIO MURILLO President 718-239-0030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| 2084H0002X Psychiatry & Neurology, Hospice and Palliative Medicine | |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2009-02-05 |