| NPI | 1275818668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMHACHALAM RAGUTHU Owner 718-816-1583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 141323) |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2011-10-17 |