| NPI | 1467797688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT WIENER Sole Member 212-686-3354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 254466) |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2012-11-28 |