| NPI | 1477081230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY YANG Owner 347-673-9210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036133637) |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2017-05-24 |