| NPI | 1215295282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAMA VERMA Owner 315-469-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 241756) |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2013-10-01 |