| NPI | 1467266593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARHAD KADKHODAEI ELYADERANI Owner 929-656-5243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2025-02-07 |
| Last Update Date | 2026-03-16 |