| NPI | 1417078247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BURGESS President 718-960-6159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 127526) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2012-09-24 |