| NPI | 1295422442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN D FISHER Director/Co Founder 516-435-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2023-04-19 |