| NPI | 1306144878 |
|---|---|
| Doing Business As | SUNY DMC @LICH-PSYCHIATRY |
| Entity Type | Organization |
| Authorized Contact | MARILYN VIENTOS - SOTIRIADIS COO 718-270-2025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2013-04-04 |