| NPI | 1326552084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD WU Medical Director 347-688-3398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 207R00000X Internal Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2018-08-10 |