| NPI | 1396820825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANIL K VERMA Owner Of The Group 315-214-0390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 172632) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |