| NPI | 1407441512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN ROSS Vice President Of Operations 845-516-6518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2021-03-02 |