| NPI | 1255596672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIDDHARTH T PANDYA Physician 718-418-6040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 189510) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 189510) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2008-07-24 |