| NPI | 1144028556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRIYADARSHAN BAJPAYI Owner 631-673-3233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2025-03-04 |
| Last Update Date | 2025-05-13 |