NPI | 1457839243 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY BUTNER Administrative 718-830-0246 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 213276-1) |
Enumeration Date | 2018-08-02 |
Last Update Date | 2018-08-02 |