| NPI | 1275720278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL W. HEISE Managing Director 212-988-4815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 185547) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2011-04-28 |