| NPI | 1275918096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR BASHAYAN President 917-374-2944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 265495) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2015-07-22 |