| 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 |