| NPI | 1386026961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZLATIN IVANOV Md 917-704-4069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 242883) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2015-06-22 |