| NPI | 1427379932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYED NISAR AHMAD President 631-665-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology Addiction Psychiatry (Licence: NY 1462241) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2010-06-18 |