| NPI | 1215176250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA SHERESHEVSKAYA Owner 718-259-8582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 197511) |
| Enumeration Date | 2009-02-16 |
| Last Update Date | 2009-02-16 |