| NPI | 1326285875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD A SIDDIQUE Physician/Owner 718-739-4343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 213150) |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2009-11-19 |