| NPI | 1386003580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY INFELD Credentialing Manager 914-428-3651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 1041C0700X Social Worker, Clinical | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2016-09-19 |