| NPI | 1376122515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMA RATHI CEO 347-830-7720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 174400000X Specialist |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X | |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2023-11-22 |