| NPI | 1376725382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS RUSSO Director Fpa 212-241-6228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2008-03-05 |