| NPI | 1144946534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARD FUSARO Owner 212-288-2823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2023-01-30 |