| NPI | 1255868956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI R. SURAHIO Md/Psychiatrist 917-932-3433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NJ 25MA09574700) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |