| NPI | 1427372994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRA POLLACK Owner 860-749-5881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 041022) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MA 217519) |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2012-07-31 |