| NPI | 1235208406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HASSAN SHUKRI Owner 315-634-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: 195245) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2013-05-23 |