| NPI | 1427729839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMIR HADDAD President 631-885-4729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2024-10-09 |