| NPI | 1437620333 |
|---|---|
| Other Name | HQMP POUGH. NEUROSCIENCES |
| Entity Type | Organization |
| Authorized Contact | GLENN LOOMIS Cmo 845-475-9661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 207T00000X Neurological Surgery |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2020-07-13 |