| NPI | 1326128034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENRICO FAZZINI Director 718-263-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 157518) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |