| NPI | 1366869430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE BETH MECKLER Owner 212-362-0609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NY 190602) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2014-03-26 |