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 |