| NPI | 1144655341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS F MUNSEY Owner 631-605-5220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 169817) |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2013-09-06 |