| NPI | 1437913456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARY CRALL Medical Director 646-453-6777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-02-09 |
| Last Update Date | 2024-08-14 |