| NPI | 1437218674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMA RASOOL Psychiatrist 718-268-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R056338) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 016036) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 159418) | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2014-05-07 |