| NPI | 1164171872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANANTHAKUMAR THILLAINATHAN Md 516-582-1948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2022-03-21 |