| NPI | 1285901900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD SHALTS President 718-275-2224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 209237) |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2011-11-23 |