| NPI | 1427506518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER KANTOR Manager 718-975-7690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2016-09-17 |
| Last Update Date | 2016-11-15 |