| NPI | 1295251858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | POOJA TANDON President / Physician 516-713-1134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA09829300) |
| Additional Taxonomies | 2084P0805X (Licence: NJ 25MA09829300) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2017-08-16 |