| NPI | 1427536101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AURA MARIZOL ARDON Md 718-290-5126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2024-10-23 |