NPI | 1154769669 |
---|---|
Entity Type | Organization |
Authorized Contact | PERRY STEVENS Owner 631-271-9151 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 179574) |
Enumeration Date | 2013-06-06 |
Last Update Date | 2013-06-06 |