NPI | 1164793089 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM B. HEAD Doctor 718-448-5554 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 109042) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA02586900) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA02586900) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 109042) | |
Enumeration Date | 2012-01-24 |
Last Update Date | 2012-01-24 |