| NPI | 1225562176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVINDER TIKOO Owner 917-536-8940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NJ 25MA08433600) |
| Additional Taxonomies | 2084P2900X Psychiatry & Neurology Pain Medicine (Licence: NJ 25MA08433600) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2019-12-10 |