| NPI | 1184389389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANGEET KHANNA Provider 347-278-4567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2024-06-14 |