| NPI | 1477196236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZLATIN IVANOV Psychiatrist 646-673-3375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2019-10-24 |