| NPI | 1235594631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELIX NICOLAS RODRIGUEZ Owner 917-628-9083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME121067) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |