| NPI | 1316122112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARALA REDDY Owner 631-784-7803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NY 00168136) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2007-12-31 |