| NPI | 1215334008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYED J KHAN Owner 347-432-4848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: IN 01061501A) |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2014-11-24 |