| NPI | 1205675949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN SOLAIMANZADEH Chief Medical Director 516-513-1256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2024-08-28 |