| NPI | 1467542530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIDONG SU Director 718-888-1803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 215043) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |