| NPI | 1477627370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANISLAV KULISHOV President 718-627-3939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NY 208948) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2012-11-02 |