| NPI | 1316466949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKEE C NAMWILA Practice Administrator 646-864-4631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 238393) |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2022-07-21 |