| NPI | 1215213806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VSEVOLOD RUDOY CEO 347-410-2771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 222147) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2011-10-26 |