| NPI | 1427238005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DANIEL COLUCCI President 631-209-1477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 199981) |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2007-11-12 |