| NPI | 1245084730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS C YANG Owner 516-588-0655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| 363AM0700X Physician Assistant Medical | |
| Enumeration Date | 2024-04-12 |
| Last Update Date | 2024-04-12 |