| NPI | 1427536101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AURA MARIZOL ARDON Md 718-290-5126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 47136) |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2024-02-08 |