| NPI | 1154190296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS YANG Owner 516-588-0655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 208000000X Pediatrics | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2024-01-01 |
| Last Update Date | 2024-01-01 |