| NPI | 1184138265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINHAJ U SIDDIQI Owner/ Provider 315-335-4619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 232467) |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2018-08-09 |