| NPI | 1316629892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA KURLYANDCHIK Psychiatrist 917-603-0509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2023-08-18 |