NPI | 1164720942 |
---|---|
Entity Type | Organization |
Authorized Contact | SYDNEY C. PIERCEY Physician 5412-073-9000 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD22463) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2011-03-03 |
Last Update Date | 2013-03-07 |