| NPI | 1275342123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCEL GREEN Physician 347-426-7005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2025-01-06 |
| Last Update Date | 2025-09-04 |